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NPI 1750509964

NPI 1750509964 : KATOPES & ASSOCIATES, PC : WOODSTOCK, GA

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General NPI Number Information
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    NPI Number           |    1750509964
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    Entity Type          |    Organization 
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    Legal Business Name  |    KATOPES & ASSOCIATES, PC 
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Dates
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    Enumeration Date     |    04/23/2007
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    Last Update Date     |    04/16/2008
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Provider Practice Location Address
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    Address Line         |    203 WOODPARK PL BLDG C 
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    City                 |    WOODSTOCK
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    State                |    GA
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    Zip                  |    30188-3764
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    Country              |    US
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    Telephone            |    770-926-4150
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    Fax                  |    770-874-0452
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Provider Business Mailing Address
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    Address Line         |    203 WOODPARK PL BLG C 
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    City                 |    WOODSTOCK
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    State                |    GA
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    Zip                  |    30188-3764
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    Country              |    US
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    Telephone            |    770-926-4150
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    Fax                  |    770-874-0452
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Authorized Official
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    Title or Position    |    INSURANCE DEPT. MANAGER
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    Name                 |     KIMBERLY D TODD 
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    Credential           |    
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    Telephone            |    770-926-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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