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General NPI Number Information
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NPI Number | 1063562700
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Entity Type | Organization
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Legal Business Name | AARTI PANDYA, M.D., P.C.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 1309 MILSTEAD ROAD STE E
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City | CONYERS
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State | GA
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Zip | 30012
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Country | US
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Telephone | 770-929-1333
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Fax | 770-929-0659
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Provider Business Mailing Address
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Address Line | 1309 MILSTEAD ROAD SUITE E
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City | CONYERS
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State | GA
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Zip | 30012
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Country | US
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Telephone | 770-929-1333
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Fax | 770-929-0659
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | AARTI PANDYA
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Credential | M.D.
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Telephone | 770-929-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 020985
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 047501
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License Number State | GA
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