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General NPI Number Information
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NPI Number | 1386433787
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Entity Type | Individual
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Provider Name | RAWAN KORMAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1475 LANEY WALKER BLVD
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City | AUGUSTA
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State | GA
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Zip | 30912-0002
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Country | US
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Telephone | 706-721-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 465 EMORY DR NE
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City | ATLANTA
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State | GA
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Zip | 30307-1148
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Country | US
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Telephone | 470-630-4469
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 17347
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License Number State | GA
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