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General NPI Number Information
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NPI Number | 1639494230
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Entity Type | Individual
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Provider Name | PAYASWINI VASANTH M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1365 CLIFTON RD NE BLDG B
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City | ATLANTA
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State | GA
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Zip | 30322-1013
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Country | US
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Telephone | 855-366-7989
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Fax |
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Provider Business Mailing Address
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Address Line | 117 HILLYER PL
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City | DECATUR
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State | GA
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Zip | 30030-1909
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Country | US
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Telephone | 703-577-8706
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 75557
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BPI-0036671
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License Number State | TX
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