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General NPI Number Information
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NPI Number | 1245420496
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Entity Type | Individual
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Provider Name | PRANITA A NIRGUDKAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FY RD NE
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City | ATLANTA
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State | GA
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Zip | 30342-1606
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Country | US
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Telephone | 404-303-7647
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Fax |
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Provider Business Mailing Address
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Address Line | 5780 PEACHTREE DUNWOODY RD STE 380
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City | ATLANTA
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State | GA
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Zip | 30342-1579
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Country | US
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Telephone | 404-303-7647
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME96239
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 83038
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 50510
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License Number State | AL
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