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General NPI Number Information
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NPI Number | 1306112511
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Entity Type | Individual
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Provider Name | PHINDILE ERIKA MILENSU CHOWA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 8954 HOSPITAL DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134
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Country | US
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Telephone | 412-956-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 WOODMONT LN NW #1674
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City | ATLANTA
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State | GA
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Zip | 30318
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 75984
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License Number State | GA
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