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General NPI Number Information
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NPI Number | 1437590866
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Entity Type | Individual
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Provider Name | RAMPRASAD JEGADEESAN M.D
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Gender | Male
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Dates
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Enumeration Date | 07/14/2013
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 3180 N POINT PKWY STE 511
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City | ALPHARETTA
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State | GA
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Zip | 30005-4569
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Country | US
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Telephone | 770-227-2222
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Fax | 770-227-2220
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Provider Business Mailing Address
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Address Line | ATLANTA GASTROENTEROLOGY ASSOCIATES 3180 NORTH POINT PKWY BLDG 500, STE 511
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City | ALPHARETTA
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State | GA
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Zip | 30005
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Country | US
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Telephone | 770-227-2222
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Fax | 770-227-2220
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 98610
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License Number State | GA
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