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General NPI Number Information
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NPI Number | 1184945420
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Entity Type | Individual
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Provider Name | HASANI K BAHARANYI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 2650 HOLCOMB BRIDGE RD STE 710
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City | ALPHARETTA
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State | GA
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Zip | 30022-5343
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Country | US
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Telephone | 404-282-4213
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 HOLCOMB BRIDGE RD STE 710
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City | ALPHARETTA
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State | GA
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Zip | 30022-5343
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Country | US
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Telephone | 404-282-4213
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L-244429
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 72245
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License Number State | GA
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