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General NPI Number Information
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NPI Number | 1215645924
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Entity Type | Individual
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Provider Name | ALIREZA ARABNIA MD
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Gender | Male
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 05/10/2026
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Provider Practice Location Address
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Address Line | 1000 MEDICAL CENTER BLVD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-7694
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Country | US
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Telephone | 678-312-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 73 PRESTIGE LN STE 103
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City | DAWSONVILLE
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State | GA
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Zip | 30534-6370
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Country | US
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Telephone | 706-429-0033
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 101614
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License Number State | GA
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