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General NPI Number Information
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NPI Number | 1972636652
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Entity Type | Individual
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Provider Name | EUGENE ROBERT FERRI JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 2292 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 404-382-9941
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Fax | 404-351-6762
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Provider Business Mailing Address
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Address Line | 3927 PINEHURST WAY
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City | DULUTH
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State | GA
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Zip | 30096-3172
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Country | US
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Telephone | 678-442-3317
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Fax | 678-442-4416
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 026113
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 026113
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License Number State | GA
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