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General NPI Number Information
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NPI Number | 1851471445
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Entity Type | Organization
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Legal Business Name | L & H INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 1720 PEACHTREE ST NW SUITE 110
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City | ATLANTA
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State | GA
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Zip | 30309-2449
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Country | US
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Telephone | 404-685-0800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 655
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City | DULUTH
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State | GA
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Zip | 30096-0012
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Country | US
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Telephone | 404-685-0800
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LIZA HASSO
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Credential | M.D.
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Telephone | 404-685-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 045821
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License Number State | GA
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