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General NPI Number Information
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NPI Number | 1376102285
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Entity Type | Individual
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Provider Name | THARANI SUNDARARAJAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1800 NORTHSIDE FORSYTH DR STE 40
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City | CUMMING
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State | GA
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Zip | 30041-8416
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Country | US
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Telephone | 678-947-6440
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Fax | 678-513-4764
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Provider Business Mailing Address
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Address Line | 4300 N POINT PKWY STE 300
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City | ALPHARETTA
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State | GA
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Zip | 30022-4102
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 98858
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036.159188
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.159188
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125074752
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License Number State | IL
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