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General NPI Number Information
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NPI Number | 1811227317
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Entity Type | Organization
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Legal Business Name | ATLANTIC COAST GYNECOLOGY INC.
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 100 TIMBER TRAIL RD STE 101
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City | RICHMOND HILL
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State | GA
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Zip | 31324-9416
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Country | US
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Telephone | 706-414-4082
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2877
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City | RICHMOND HILL
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State | GA
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Zip | 31324-2877
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Country | US
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Telephone | 706-414-4082
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | CINAR A H AKSU
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Credential | MD
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Telephone | 706-414-4082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 056401
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License Number State | GA
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