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General NPI Number Information
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NPI Number | 1760660203
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Entity Type | Organization
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Legal Business Name | NEW MEDICAL CENTER PC
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 72 KENT RD STE 4
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City | TIFTON
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State | GA
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Zip | 31794-1695
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Country | US
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Telephone | 229-386-5101
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Fax | 229-386-2277
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Provider Business Mailing Address
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Address Line | 72 KENT RD STE 4
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City | TIFTON
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State | GA
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Zip | 31794-1695
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Country | US
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Telephone | 229-386-5101
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Fax | 229-386-2277
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Authorized Official
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Title or Position | CEO
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Name | DR. NANDLAL CHAINANI
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Credential | MD
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Telephone | 229-386-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 44893
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 63840
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License Number State | GA
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