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General NPI Number Information
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NPI Number | 1811357080
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Entity Type | Organization
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Legal Business Name | S.VAL PLASTIC SURGERY P.C.
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 3885 PRINCETON LAKES WAY SW SUITE 312
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City | ATLANTA
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State | GA
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Zip | 30331-5589
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Country | US
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Telephone | 678-807-4331
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Fax | 678-868-1122
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Provider Business Mailing Address
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Address Line | 950 EAGLES LANDING PKWY SUITE 170
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7343
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Country | US
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Telephone | 678-807-4331
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Fax | 678-868-1122
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SYBILE VAL
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Credential | M.D.
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Telephone | 678-807-4331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State | GA
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