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NPI 1760644603

NPI 1760644603 : LEELA M BARNEY PA : BARNESVILLE, GA

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General NPI Number Information
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    NPI Number           |    1760644603
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    Entity Type          |    Individual 
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    Provider Name        |    LEELA M BARNEY PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/01/2008
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    Last Update Date     |    07/01/2008
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Provider Practice Location Address
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    Address Line         |    101 COMMERCE PL SUITE 1
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    City                 |    BARNESVILLE
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    State                |    GA
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    Zip                  |    30204-1680
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    Country              |    US
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    Telephone            |    770-358-4408
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    Fax                  |    770-358-0002
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Provider Business Mailing Address
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    Address Line         |    547 PONCE DE LEON AVE NE SUITE 200
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30308-1880
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    Country              |    US
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    Telephone            |    404-929-8824
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    Fax                  |    404-929-9769
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    H800040
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    License Number State |    GA
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