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General NPI Number Information
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NPI Number | 1477742567
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Entity Type | Organization
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Legal Business Name | THE DOCTORS INN
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 09/07/2010
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Provider Practice Location Address
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Address Line | 1569 BUFORD DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043
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Country | US
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Telephone | 770-277-5456
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Fax | 770-277-1424
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Provider Business Mailing Address
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Address Line | 1569 BUFORD DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043
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Country | US
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Telephone | 770-277-5456
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Fax | 770-277-1424
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ASHOK SINHA
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Credential | D.O.
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Telephone | 770-277-5456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 033706
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License Number State | GA
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