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General NPI Number Information
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NPI Number | 1225952617
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Entity Type | Individual
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Provider Name | SHAILEE BHATT
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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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 | 678-312-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 2408 SUWANEE POINTE DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-1329
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Country | US
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Telephone | 706-386-1691
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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 | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | RN327671
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License Number State | GA
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