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General NPI Number Information
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NPI Number | 1932113925
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Entity Type | Organization
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Legal Business Name | PIEDMONT PULMONARY CONSULTANTS PC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2001 PEACHTREE RD NE STE 600
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City | ATLANTA
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State | GA
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Zip | 30309-1424
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Country | US
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Telephone | 404-352-3110
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Fax | 404-352-4101
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Provider Business Mailing Address
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Address Line | 2001 PEACHTREE RD NE STE 600
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City | ATLANTA
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State | GA
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Zip | 30309-1424
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Country | US
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Telephone | 404-352-3110
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Fax | 404-352-4101
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM R KENNY
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Credential | M.D.
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Telephone | 404-352-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 017219
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License Number State | GA
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