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General NPI Number Information
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NPI Number | 1770786295
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Entity Type | Individual
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Provider Name | ADI ZAIONIT O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 3264 BUFORD DR SUITE 100-A
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City | BUFORD
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State | GA
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Zip | 30519-8764
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Country | US
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Telephone | 678-395-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 4664 ASHFORD CLUB DR
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City | ATLANTA
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State | GA
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Zip | 30338-5500
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Country | US
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Telephone | 404-729-0662
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1784
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License Number State | GA
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