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General NPI Number Information
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NPI Number | 1518392737
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Entity Type | Organization
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Legal Business Name | YOGI HEALTHCARE LLC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 10910 ESTATES TER
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City | ALPHARETTA
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State | GA
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Zip | 30022-1471
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Country | US
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Telephone | 404-786-8581
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Fax |
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Provider Business Mailing Address
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Address Line | 10910 ESTATES TER
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City | ALPHARETTA
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State | GA
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Zip | 30022-1471
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Country | US
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Telephone | 404-786-8581
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BHAVINKUMAR P PATEL
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Credential | MD
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Telephone | 404-786-8581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 66047
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License Number State | GA
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