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General NPI Number Information
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NPI Number | 1295829059
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Entity Type | Individual
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Provider Name | SOWMYA REDDY MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 2905 JORDAN CT STE G
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City | ALPHARETTA
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State | GA
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Zip | 30004-8966
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Country | US
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Telephone | 678-335-9223
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Fax | 678-335-9236
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Provider Business Mailing Address
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Address Line | 2905 JORDAN CT STE G
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City | ALPHARETTA
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State | GA
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Zip | 30004-8966
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Country | US
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Telephone | 678-335-9223
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Fax | 678-335-9236
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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 | 060596
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License Number State | GA
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