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General NPI Number Information
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NPI Number | 1972774412
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Entity Type | Organization
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Legal Business Name | ALEXANDER MESKI MD PC
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 100 PROFESSIONAL PL SUITE 301
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City | CARROLLTON
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State | GA
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Zip | 30117-3874
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Country | US
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Telephone | 770-214-2300
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Fax | 770-214-9756
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Provider Business Mailing Address
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Address Line | 100 PROFESSIONAL PL SUITE 301
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City | CARROLLTON
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State | GA
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Zip | 30117-3874
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Country | US
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Telephone | 770-214-2300
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Fax | 770-214-9756
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Authorized Official
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Title or Position | PROVIDER
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Name | ALEXANDER MESKI
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Credential | MD
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Telephone | 770-214-2300
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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 | 048802
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License Number State | GA
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