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General NPI Number Information
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NPI Number | 1659332922
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Entity Type | Individual
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Provider Name | ANU R MONGIA MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 100 MARKET PLACE BLVD STE 207
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City | CARTERSVILLE
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State | GA
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Zip | 30121-8718
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Country | US
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Telephone | 770-607-7430
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Fax | 678-721-6974
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Provider Business Mailing Address
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Address Line | 100 MARKET PLACE BLVD STE 207
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City | CARTERSVILLE
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State | GA
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Zip | 30121-8718
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Country | US
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Telephone | 770-607-7430
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Fax | 678-721-6974
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 13396-320
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 055685
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License Number State | GA
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