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General NPI Number Information
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NPI Number | 1396971925
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Entity Type | Individual
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Provider Name | ROSITA SADHANA SHIVDAT-NANHOE MD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 116A HOSPITAL DR
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City | WARNER ROBINS
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State | GA
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Zip | 31088-4204
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Country | US
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Telephone | 478-225-2297
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Fax |
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Provider Business Mailing Address
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Address Line | 116 HOSPITAL DR STE A
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City | WARNER ROBINS
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State | GA
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Zip | 31088-4204
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Country | US
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Telephone | 478-733-6803
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Fax | 478-225-2477
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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 | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 62081
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 62081
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License Number State | GA
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