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General NPI Number Information
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NPI Number | 1801304662
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Entity Type | Organization
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Legal Business Name | HC PODIATRY , LLC
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Dates
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Enumeration Date | 01/15/2018
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Last Update Date | 01/15/2018
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Provider Practice Location Address
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Address Line | 1870 THE EXCHANGE SE STE 200
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City | ATLANTA
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State | GA
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Zip | 30339-2021
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Country | US
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Telephone | 678-412-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 THE EXCHANGE SE STE 200
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City | ATLANTA
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State | GA
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Zip | 30339-2021
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PODIATRIC PHYSICIAN
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Name | DR. HAROLD COLEMAN
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Credential | DPM
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Telephone | 404-500-7643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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