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General NPI Number Information
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NPI Number | 1376606087
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Entity Type | Individual
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Provider Name | TARIK LALWANI MD
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 5669 PEACHTREE DUNWOODY RD STE 240
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City | ATLANTA
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State | GA
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Zip | 30342-1719
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Country | US
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Telephone | 404-410-3970
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Fax | 404-844-4818
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Provider Business Mailing Address
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Address Line | 5669 PEACHTREE DUNWOODY RD STE 240
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City | ATLANTA
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State | GA
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Zip | 30342-1719
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Country | US
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Telephone | 404-410-3970
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Fax | 404-844-4818
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MT189140
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 060755
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License Number State | GA
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