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General NPI Number Information
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NPI Number | 1790218808
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Entity Type | Individual
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Provider Name | POORVI CHHABRA PFENNING MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 6 JEFFERSON PKWY STE E
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City | NEWNAN
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State | GA
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Zip | 30263-3165
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Country | US
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Telephone | 888-888-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 6 JEFFERSON PKWY STE E
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City | NEWNAN
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State | GA
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Zip | 30263-3165
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Country | US
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Telephone | 404-905-7994
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Fax | 770-727-3421
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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 | 91176
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License Number State | GA
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