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General NPI Number Information
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NPI Number | 1760576656
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Entity Type | Organization
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Legal Business Name | ATLANTA HEART GROUP PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 2665 N DECATUR ROAD SUITE 260
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City | DECATUR
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State | GA
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Zip | 30033-6145
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Country | US
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Telephone | 404-297-9077
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Fax | 404-296-1220
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Provider Business Mailing Address
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Address Line | 2665 N DECATUR ROAD SUITE 260
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City | DECATUR
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State | GA
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Zip | 30033-6145
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Country | US
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Telephone | 404-297-9077
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Fax | 404-296-1220
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL A KIRSCHBAUM
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Credential | MD
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Telephone | 404-297-9077
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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 | 021728
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License Number State | GA
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