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General NPI Number Information
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NPI Number | 1730741448
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Entity Type | Organization
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Legal Business Name | GASTRO CONSULTANTS OF ATLANTA PC
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 5669 PEACHTREE DUNWOODY RD STE 270
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City | ATLANTA
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State | GA
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Zip | 30342-1786
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Country | US
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Telephone | 404-255-1000
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Fax | 404-847-0416
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Provider Business Mailing Address
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Address Line | 5669 PEACHTREE DUNWOODY RD STE 270
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City | ATLANTA
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State | GA
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Zip | 30342-1786
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Country | US
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Telephone | 404-255-1000
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Fax | 404-847-0416
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ALAN M FIXELLE
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Credential | MD
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Telephone | 404-255-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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