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General NPI Number Information
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NPI Number | 1497630230
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Entity Type | Individual
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Provider Name | MISS ARCHNA GANDHI
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1637 ATHENS HWY
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City | GRAYSON
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State | GA
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Zip | 30017-1768
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Country | US
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Telephone | 770-995-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 TRIDENT MAPLE CHASE
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-6702
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Country | US
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Telephone | 770-789-7324
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Fax | 770-789-7324
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT20-137450
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License Number State | GA
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