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NPI 1326143819

NPI 1326143819 : RAJANI CHAUDHARI MD PC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1326143819
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAJANI CHAUDHARI MD PC 
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Dates
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    Enumeration Date     |    09/13/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    402 NORTH AVENUE NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30308-2504
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    Country              |    US
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    Telephone            |    404-873-1894
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    Fax                  |    404-873-6487
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Provider Business Mailing Address
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    Address Line         |    402 NORTH AVENUE NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30308-2504
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    Country              |    US
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    Telephone            |    404-873-1894
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    Fax                  |    404-873-6487
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. RAJANI S CHAUDHARI 
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    Credential           |    MD
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    Telephone            |    404-873-1894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    23340
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    License Number State |    GA
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