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General NPI Number Information
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NPI Number | 1881697860
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Entity Type | Individual
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Provider Name | MICHAEL S. SLUTZKY M.D
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 3672 MARATHON CIRCLE STE 200
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City | AUSTELL
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State | GA
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Zip | 30106
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Country | US
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Telephone | 770-944-3303
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Fax | 770-944-0285
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Provider Business Mailing Address
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Address Line | 900 CIRCLE 75 PKWY SE SUITE 1700
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City | ATLANTA
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State | GA
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Zip | 30339-3035
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Country | US
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Telephone | 770-953-6929
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Fax | 770-953-6972
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 28653
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License Number State | GA
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