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General NPI Number Information
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NPI Number | 1518258441
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Entity Type | Individual
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Provider Name | ASHIMA LAL
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Gender | Female
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 80 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303
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Country | US
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Telephone | 404-616-4946
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 CLIFTON RD NE ROOM 1047
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City | ATLANTA
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State | GA
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Zip | 30329-4021
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Country | US
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Telephone |
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 74223
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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