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General NPI Number Information
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NPI Number | 1215556790
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Entity Type | Individual
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Provider Name | SINDHU SRINIVAS
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Gender | Female
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 958 JOE FRANK HARRIS PKWY SE BLDG A106
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City | CARTERSVILLE
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State | GA
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Zip | 30120-2151
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Country | US
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Telephone | 770-386-1389
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Fax | 770-386-4894
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | SC007124
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License Number State | PA
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