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General NPI Number Information
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NPI Number | 1619138054
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Entity Type | Individual
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Provider Name | RICHITA C SURANA MD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 2306 WISTERIA DR STE 100
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City | SNELLVILLE
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State | GA
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Zip | 30078-3561
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Country | US
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Telephone | 770-979-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 RIDENOUR BLVD SUITE 300
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City | KENNESAW
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State | GA
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Zip | 30152
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Country | US
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Telephone | 770-702-1806
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036.120624
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 63031
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License Number State | GA
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