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General NPI Number Information
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NPI Number | 1740350669
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Entity Type | Individual
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Provider Name | SHIRIN VALIANI MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 25 GOSS DRIVE
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City | HAMPTON
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State | GA
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Zip | 30228-1855
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Country | US
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Telephone | 770-946-4521
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Fax | 770-946-5143
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Provider Business Mailing Address
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Address Line | PO BOX 1107
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City | HAMPTON
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State | GA
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Zip | 30228-0905
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Country | US
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Telephone | 770-946-4521
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Fax | 770-946-5143
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 038996
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License Number State | GA
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