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General NPI Number Information
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NPI Number | 1386326080
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Entity Type | Individual
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Provider Name | ANUM SIDDIQUI
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Gender | Female
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 1800 HOWELL MILL RD NW STE 625
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City | ATLANTA
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State | GA
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Zip | 30318-3185
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Country | US
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Telephone | 404-425-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 2065 SPRINGLAKE DR NW UNIT 1
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City | ATLANTA
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State | GA
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Zip | 30305-3917
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Country | US
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Telephone | 703-229-9772
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 686
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License Number State | GA
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