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General NPI Number Information
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NPI Number | 1821315326
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Entity Type | Organization
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Legal Business Name | STORYBOOK PEDIATRICS, P.C.
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 130 ENTERPRISE PKWY
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City | MCDONOUGH
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State | GA
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Zip | 30253-9000
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Country | US
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Telephone | 978-583-9071
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Fax | 678-583-9319
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Provider Business Mailing Address
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Address Line | 130 ENTERPRISE PKWY
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City | MCDONOUGH
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State | GA
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Zip | 30253-9000
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Country | US
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Telephone | 978-583-9071
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Fax | 678-583-9319
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONNIE SMITH
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Credential | MD
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Telephone | 678-583-9071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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