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General NPI Number Information
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NPI Number | 1164742425
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Entity Type | Individual
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Provider Name | CHARYA CHHAUV BY GOLDSMITH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 771 OLD NORCROSS RD STE 260
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4981
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Country | US
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Telephone | 770-962-5040
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Fax |
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Provider Business Mailing Address
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Address Line | 151 SOUTHHALL LN STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7172
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Country | US
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Telephone | 407-875-2080
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Fax | 407-650-3455
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME116913
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 92888
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License Number State | GA
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