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General NPI Number Information
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NPI Number | 1508457623
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Entity Type | Individual
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Provider Name | PRITI JOSHI
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 1190 INDIAN TRAIL RD
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City | NORCROSS
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State | GA
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Zip | 30093-4594
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Country | US
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Telephone | 770-638-8958
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Fax |
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Provider Business Mailing Address
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Address Line | 3362 FOREST VISTA DR
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City | DACULA
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State | GA
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Zip | 30019-4652
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Country | US
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Telephone | 770-310-1848
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Fax |
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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 | 176P00000X
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Taxonomy Name | Funeral Director
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License Number | RPH019871
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH019871
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License Number State | GA
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