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General NPI Number Information
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NPI Number | 1336437748
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Entity Type | Individual
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Provider Name | WILMA REBECA ORELLANA PHADKE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 1001 JOHNSON FY RD NE SRPAC (GPS)
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City | ATLANTA
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State | GA
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Zip | 30342-1605
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Country | US
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Telephone | 404-785-2338
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 JOHNSON FY RD NE SRPAC GPS
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City | ATLANTA
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State | GA
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Zip | 30342-1605
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301098965
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 74593
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License Number State | GA
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