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General NPI Number Information
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NPI Number | 1932268299
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Entity Type | Organization
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Legal Business Name | PATRICK A CONARRO MD
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 64 MOUNTAIN DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-1601
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Country | US
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Telephone | 706-864-6196
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Fax | 706-867-0729
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Provider Business Mailing Address
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Address Line | 64 MOUNTAIN DR
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City | DAHLONEGA
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State | GA
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Zip | 30533-1601
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Country | US
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Telephone | 706-864-6196
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Fax | 706-867-0729
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK A. CONARRO
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Credential | M.D.
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Telephone | 706-864-6196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 093-183
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License Number State | GA
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