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General NPI Number Information
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NPI Number | 1922047893
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Entity Type | Organization
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Legal Business Name | PIEDMONT COLORECTAL ASSOCIATES, PC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 35 COLLIER RD NW SUITE 475
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City | ATLANTA
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State | GA
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Zip | 30309-1613
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Country | US
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Telephone | 404-351-7900
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Fax | 404-351-7901
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Provider Business Mailing Address
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Address Line | 35 COLLIER RD NW SUITE 475
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City | ATLANTA
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State | GA
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Zip | 30309-1613
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Country | US
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Telephone | 404-351-7900
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Fax | 404-351-7901
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. ANJELICA ALSTON
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Credential |
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Telephone | 404-351-7900
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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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