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General NPI Number Information
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NPI Number | 1649157231
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Entity Type | Individual
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Provider Name | PENPRAPA CALHOUN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 800 MOUNT VERNON HWY NE STE 160
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4294
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Country | US
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Telephone | 470-546-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 405 WARM SPRINGS CIR
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City | ROSWELL
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State | GA
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Zip | 30075-4951
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Country | US
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Telephone | 470-829-6261
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT015306
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License Number State | GA
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