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General NPI Number Information
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NPI Number | 1851606834
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Entity Type | Organization
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Legal Business Name | ATLANTA METRO CARDIOLOGY
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 2645 LAWRENCEVILLE HWY
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City | DECATUR
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State | GA
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Zip | 30033-2502
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Country | US
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Telephone | 770-491-7030
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Fax | 770-491-7144
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Provider Business Mailing Address
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Address Line | PO BOX 1459
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City | DECATUR
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State | GA
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Zip | 30031-1459
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Country | US
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Telephone | 678-767-2020
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Fax | 770-491-7144
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ABHAY TRIVEDI
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Credential | M.D.
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Telephone | 678-767-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 58625
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License Number State | GA
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