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General NPI Number Information
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NPI Number | 1376022434
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Entity Type | Individual
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Provider Name | NEENA BHATIA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 3195 BUFORD HWY STE 1
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City | DULUTH
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State | GA
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Zip | 30096-5707
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Country | US
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Telephone | 678-243-5021
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Fax | 678-243-5020
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Provider Business Mailing Address
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Address Line | 8820 FULHAM CT
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City | CUMMING
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State | GA
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Zip | 30041-8042
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Country | US
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Telephone | 678-200-5468
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN23018
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN230108
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License Number State | GA
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