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General NPI Number Information
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NPI Number | 1447205240
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Entity Type | Individual
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Provider Name | SAVITHA SHAMA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 735 N MAIN ST 1100
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City | ALPHARETTA
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State | GA
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Zip | 30009-2405
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Country | US
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Telephone | 678-827-9157
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Fax | 470-299-6262
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Provider Business Mailing Address
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Address Line | 11585 JONES BRIDGE RD 420-215
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City | JOHNS CREEK
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State | GA
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Zip | 30022-8129
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Country | US
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Telephone | 678-827-9157
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Fax | 470-299-6262
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 046324
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 046324
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License Number State | GA
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