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General NPI Number Information
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NPI Number | 1780154914
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Entity Type | Organization
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Legal Business Name | SYAH, LLC
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 142 PARKWAY PLAZA
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City | CLEVELAND
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State | GA
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Zip | 30528
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Country | US
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Telephone | 770-532-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 JESSE JEWELL PKWY SE STE 300
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City | GAINESVILLE
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State | GA
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Zip | 30501-3865
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Country | US
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Telephone | 770-532-0800
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Fax | 770-532-0801
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | NANCY ALLEN
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Credential |
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Telephone | 770-532-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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