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General NPI Number Information
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NPI Number | 1033977871
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Entity Type | Individual
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Provider Name | MOHINI PRASHANT GHARPURE
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Gender | Female
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 3976 AMBERLEY LN
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City | MARIETTA
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State | GA
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Zip | 30062-5832
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Country | US
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Telephone | 770-238-7562
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Fax |
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Provider Business Mailing Address
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Address Line | 3976 AMBERLEY LN
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City | MARIETTA
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State | GA
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Zip | 30062-5832
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Country | US
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Telephone |
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 125.085974
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License Number State | IL
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