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General NPI Number Information
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NPI Number | 1922265826
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Entity Type | Organization
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Legal Business Name | PERIMETER PEDIATRICS
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 3020 MERCER UNIVERSITY DRIVE STE 100
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City | CHAMBLEE
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State | GA
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Zip | 30341-4145
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Country | US
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Telephone | 770-458-3383
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Fax | 770-458-9959
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Provider Business Mailing Address
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Address Line | 3020 MERCER UNIVERSITY DR STE 100
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City | CHAMBLEE
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State | GA
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Zip | 30341-4145
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Country | US
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Telephone | 770-458-3383
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Fax | 770-458-9958
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | THOMAS VINCENT ADAMKIEWICZ
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Credential | MD
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Telephone | 770-458-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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