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General NPI Number Information
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NPI Number | 1750238267
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Entity Type | Organization
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Legal Business Name | PGD PC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 2959 SHARPSBURG MCCULLUM RD STE 106
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City | NEWNAN
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State | GA
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Zip | 30265-2297
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Country | US
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Telephone | 917-808-3968
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Fax |
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Provider Business Mailing Address
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Address Line | 2959 SHARPSBURG MCCULLUM RD STE 106
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City | NEWNAN
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State | GA
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Zip | 30265-2297
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Country | US
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Telephone | 917-808-3968
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PARUL DUTTA
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Credential | MD FACP
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Telephone | 917-808-3968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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