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General NPI Number Information
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NPI Number | 1407089410
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Entity Type | Individual
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Provider Name | RAJIV SOOD D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2009
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1287 GEORGIA HIGHWAY 138 SPUR ROAD SUITE #8
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City | JONESBORO
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State | GA
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Zip | 30236
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Country | US
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Telephone | 770-473-0038
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Fax | 770-471-4290
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Provider Business Mailing Address
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Address Line | 1287 GA-138 SPUR SUITE #8
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City | JONESBORO
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State | GA
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Zip | 30236
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Country | US
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Telephone | 770-473-0038
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Fax | 770-471-4290
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 072442
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | GA72442
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License Number State | GA
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