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General NPI Number Information
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NPI Number | 1194043406
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Entity Type | Individual
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Provider Name | SAURABH SHARMA MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 619 S 8TH ST STE 301
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City | GRIFFIN
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State | GA
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Zip | 30224-4260
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Country | US
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Telephone | 770-229-6072
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Fax |
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Provider Business Mailing Address
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Address Line | 101 LADSON CT
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City | DECATUR
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State | GA
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Zip | 30033-5374
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Country | US
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Telephone | 917-710-0630
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 282749
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TO BE ISSUED
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA11481000
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 88970
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License Number State | GA
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