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General NPI Number Information
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NPI Number | 1780083188
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Entity Type | Organization
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Legal Business Name | AMINA MEDICAL CONSULTANTS PC
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 2840 NORTHEAST EXPY NE SUITE#116
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City | ATLANTA
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State | GA
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Zip | 30345-4214
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Country | US
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Telephone | 404-929-1402
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Fax | 404-929-1406
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Provider Business Mailing Address
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Address Line | 2840 NE EXPY NE SUITE#116
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City | ATLANTA
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State | GA
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Zip | 30345-4214
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Country | US
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Telephone | 404-929-1402
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Fax | 404-929-1406
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMINA HASSANALI
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Credential | M.D.
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Telephone | 404-610-8821
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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 | 45494
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License Number State | GA
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