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General NPI Number Information
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NPI Number | 1962667915
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Entity Type | Individual
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Provider Name | ANTONY LABADY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 1467 JOHN ROBERT DR. SUITE B
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City | MORROW
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State | GA
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Zip | 30260-1513
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Country | US
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Telephone | 770-892-1543
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Fax | 770-892-1739
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Provider Business Mailing Address
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Address Line | 1467 JOHN ROBERT DR. SUITE B
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City | MORROW
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State | GA
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Zip | 30260
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Country | US
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Telephone | 770-892-1543
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Fax | 770-892-1730
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 063084
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License Number State | GA
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