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General NPI Number Information
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NPI Number | 1952749657
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Entity Type | Organization
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Legal Business Name | RICHARD A. WALDMAN, M.D., P.C.
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 30 LENOX POINTE NE STE A
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City | ATLANTA
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State | GA
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Zip | 30324-3177
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Country | US
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Telephone | 404-841-0641
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Fax | 404-365-9397
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Provider Business Mailing Address
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Address Line | 30 LENOX POINTE NE STE A
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City | ATLANTA
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State | GA
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Zip | 30324-3177
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Country | US
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Telephone | 404-841-0641
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Fax | 404-365-9397
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD A. WALDMAN
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Credential | M.D.
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Telephone | 404-841-0641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 048198
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License Number State | GA
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