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General NPI Number Information
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NPI Number | 1033314422
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Entity Type | Individual
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Provider Name | PEAHEN GANDHI MD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 11681 HAYNES BRIDGE RD STE 302
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City | ALPHARETTA
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State | GA
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Zip | 30009-2646
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Country | US
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Telephone | 470-458-9705
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Fax | 470-458-9706
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Provider Business Mailing Address
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Address Line | 11681 HAYNES BRIDGE RD STE 302
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City | ALPHARETTA
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State | GA
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Zip | 30009-2646
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Country | US
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Telephone | 470-458-9705
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Fax | 470-458-9706
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 57169
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 057169
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 057169
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License Number State | GA
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