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General NPI Number Information
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NPI Number | 1780027284
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Entity Type | Organization
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Legal Business Name | NORTH ATLANTA MEDICAL & DIGESTIVE CARE LLC
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 4020 OLD MILTON PKWY SUITE 100
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City | ALPHARETTA
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State | GA
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Zip | 30005-3424
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Country | US
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Telephone | 770-346-0900
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Fax | 770-346-0902
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Provider Business Mailing Address
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Address Line | 4020 OLD MILTON PKWY SUITE 100
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City | ALPHARETTA
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State | GA
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Zip | 30005-3424
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Country | US
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Telephone | 770-346-0900
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Fax | 770-346-0902
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Authorized Official
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Title or Position | PHYSICIAN OWNER/MANAGER
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Name | DR. JEFF H YE
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Credential | M.D.
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Telephone | 770-346-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 66110
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License Number State | GA
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