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General NPI Number Information
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NPI Number | 1740458892
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Entity Type | Organization
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Legal Business Name | ATLANTA CARDIOLOGY AND PRIMARY CARE PC
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 3562 HABERSHAM AT NORTHLAKE BLDG J
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City | TUCKER
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State | GA
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Zip | 30084-4009
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Country | US
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Telephone | 404-296-1130
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Fax |
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Provider Business Mailing Address
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Address Line | 3562 HABERSHAM AT NORTHLAKE BLDG J
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City | TUCKER
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State | GA
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Zip | 30084-4009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DR. SYED T RAHMAN
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Credential | MD
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Telephone | 404-296-1130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 037251
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 47506
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License Number State | GA
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