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General NPI Number Information
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NPI Number | 1457579492
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Entity Type | Individual
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Provider Name | SONAL RAMESH HAZARIWALA MD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1265 HIGHWAY 54 W STE 500D
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4537
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Country | US
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Telephone | 770-506-5410
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 PIEDMONT RD NE NINE PIEDMONT CENTER
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City | ATLANTA
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State | GA
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Zip | 30305-1717
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Country | US
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Telephone | 404-364-7070
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Fax | 770-787-8228
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD227851
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License Number State | OR
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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 | 2025-03420
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 054151
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD70011104
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License Number State | WA
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