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General NPI Number Information
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NPI Number | 1306376421
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Entity Type | Individual
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Provider Name | MINESH NANDI MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 144 BILL CARRUTH PKWY STE 3100
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City | HIRAM
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State | GA
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Zip | 30141-3819
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Country | US
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Telephone | 678-363-1940
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Fax | 678-581-7110
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Provider Business Mailing Address
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Address Line | 531 ROSELANE ST NW STE 650
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City | MARIETTA
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State | GA
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Zip | 30060-6980
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 100526
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 290733
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License Number State | MA
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