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General NPI Number Information
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NPI Number | 1730670233
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Entity Type | Individual
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Provider Name | ANOOP SINGH TAKHER DO
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Gender | Male
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 12 EXECUTIVE PARK DR NE STE 200
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City | ATLANTA
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State | GA
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Zip | 30329-2206
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Country | US
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Telephone | 630-340-2340
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 W PEACHTREE ST NW APT 504
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City | ATLANTA
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State | GA
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Zip | 30309-4779
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Country | US
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Telephone |
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 036155462
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License Number State | IL
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