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General NPI Number Information
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NPI Number | 1265538854
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Entity Type | Individual
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Provider Name | SATISH CUDDAPAH MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 03/01/2026
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Provider Practice Location Address
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Address Line | 6100 LAKE FORREST DR STE 320
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City | ATLANTA
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State | GA
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Zip | 30328-3835
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Country | US
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Telephone | 404-890-6064
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Fax | 404-890-5587
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Provider Business Mailing Address
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Address Line | 2559 ACACIA PARK PL
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City | MARIETTA
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State | GA
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Zip | 30062-4768
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Country | US
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Telephone | 404-890-6064
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Fax | 404-890-5587
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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 | 048997
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License Number State | GA
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