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General NPI Number Information
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NPI Number | 1396756284
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Entity Type | Individual
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Provider Name | PAULOMI SAHIR SHROFF M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1790 MULKEY RD SUITE 9-C
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City | AUSTELL
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State | GA
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Zip | 30106-1122
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Country | US
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Telephone | 770-941-3515
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Fax | 772-941-3490
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Provider Business Mailing Address
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Address Line | 702 CANTON RD NE
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City | MARIETTA
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State | GA
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Zip | 30060-7271
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Country | US
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Telephone | 770-428-4486
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Fax | 770-425-6008
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 056483
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License Number State | GA
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