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General NPI Number Information
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NPI Number | 1851400873
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Entity Type | Individual
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Provider Name | JANET A. MUNROE MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 1120 15TH ST
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-9729
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Fax | 706-721-8507
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Provider Business Mailing Address
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Address Line | 1499 WALTON WAY SUITE 1400
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City | AUGUSTA
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State | GA
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Zip | 30901
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Country | AX
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Telephone | 706-828-6416
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Fax | 706-722-7235
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 044210
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License Number State | GA
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