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General NPI Number Information
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NPI Number | 1730705112
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Entity Type | Organization
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Legal Business Name | AMITHA DHINGRA LLC
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 315 W PONCE DE LEON AVE STE 1045
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City | DECATUR
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State | GA
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Zip | 30030-2420
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Country | US
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Telephone | 404-681-4100
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Fax | 404-681-2300
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Provider Business Mailing Address
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Address Line | 315 W PONCE DE LEON AVE STE 1045
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City | DECATUR
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State | GA
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Zip | 30030-2420
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Country | US
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Telephone | 440-364-5106
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AMITHA DHINGRA
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Credential |
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Telephone | 440-364-5106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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