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General NPI Number Information
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NPI Number | 1932149853
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Entity Type | Individual
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Provider Name | MARICELIS H ARMSTRONG MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1620 MULKEY RD STE 100
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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 | 770-948-3774
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Fax | 770-739-9609
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Provider Business Mailing Address
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Address Line | 1965 NORTH PARK PL
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City | ATLANTA
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State | GA
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Zip | 30339
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Country | US
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Telephone | 770-952-8612
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Fax | 770-618-8075
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 050337
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License Number State | GA
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