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General NPI Number Information
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NPI Number | 1053464255
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Entity Type | Organization
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Legal Business Name | SADRUDIN J SARANGI, MD.,PC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 150 MEDICAL WAY SUITE B 1
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City | RIVERDALE
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State | GA
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Zip | 30274-2533
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Country | US
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Telephone | 770-991-1600
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Fax | 770-991-1616
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Provider Business Mailing Address
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Address Line | 150 MEDICAL WAY SUITE B 1
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City | RIVERDALE
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State | GA
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Zip | 30274-2533
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Country | US
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Telephone | 770-991-1600
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Fax | 770-991-1616
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Authorized Official
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Title or Position | PRESIDENT
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Name | SADRUDIN J SARANGI
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Credential | M D
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Telephone | 770-991-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 018546
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License Number State | GA
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