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NPI 1174101950

NPI 1174101950 : VARSHA ATULURU DPM : PEACHTREE CITY, GA

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General NPI Number Information
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    NPI Number           |    1174101950
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    Entity Type          |    Individual 
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    Provider Name        |    VARSHA ATULURU DPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2021
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    1975 HIGHWAY 54 W STE 200 
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    City                 |    PEACHTREE CITY
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    State                |    GA
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    Zip                  |    30269-4794
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    Country              |    US
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    Telephone            |    770-487-6716
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    Fax                  |    770-487-7721
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Provider Business Mailing Address
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    Address Line         |    1975 HIGHWAY 54 W STE 205 
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    City                 |    PEACHTREE CITY
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    State                |    GA
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    Zip                  |    30269-4794
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    Country              |    US
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    Telephone            |    770-716-8732
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    Fax                  |    770-487-1204
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    POD305038
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    36004142
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    License Number State |    OH
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