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General NPI Number Information
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NPI Number | 1982781787
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Entity Type | Individual
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Provider Name | NIKOLAS P. SYMBAS MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 55 WHITCHER ST NE STE 250
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City | MARIETTA
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State | GA
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Zip | 30060-1169
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Country | US
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Telephone | 770-428-4475
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Fax | 770-426-1499
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Provider Business Mailing Address
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Address Line | 55 WHITCHER ST NE STE 250
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City | MARIETTA
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State | GA
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Zip | 30060-1169
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Country | US
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Telephone | 770-428-4475
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Fax | 770-426-1499
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 042127
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License Number State | GA
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