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General NPI Number Information
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NPI Number | 1699770065
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Entity Type | Individual
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Provider Name | SADIQ SOHANI MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 1413 CHATTANOOGA AVENUE
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City | DALTON
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State | GA
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Zip | 30720-2631
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Country | US
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Telephone | 706-279-2635
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Fax | 706-279-2679
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Provider Business Mailing Address
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Address Line | 1413 CHATTANOOGA AVENUE
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City | DALTON
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State | GA
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Zip | 30720-2631
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Country | US
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Telephone | 706-279-2635
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Fax | 706-279-2679
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 45010
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 045010
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD0000029961
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License Number State | TN
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