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General NPI Number Information
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NPI Number | 1962640979
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Entity Type | Organization
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Legal Business Name | ARTHUR J SIMON MD LLC
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 3193 HOWELL MILL RD NW STE 328
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City | ATLANTA
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State | GA
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Zip | 30327-2119
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Country | US
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Telephone | 404-350-9355
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Fax | 404-350-9069
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Provider Business Mailing Address
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Address Line | 3193 HOWELL MILL RD NW STE 328
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City | ATLANTA
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State | GA
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Zip | 30327-2119
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Country | US
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Telephone | 404-350-9355
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Fax | 404-350-9069
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Authorized Official
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Title or Position | PROVIDER OF SERVICE
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Name | MR. ARTHUR J SIMON
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Credential | MD
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Telephone | 404-350-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 031125
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License Number State | GA
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