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General NPI Number Information
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NPI Number | 1821070830
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Entity Type | Individual
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Provider Name | KARIM GANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 145 RIVERSTONE TER SUITE 100
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City | CANTON
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State | GA
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Zip | 30114-5317
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Country | US
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Telephone | 678-741-2317
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Fax | 678-741-2301
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Provider Business Mailing Address
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Address Line | 1700 HOSPITAL SOUTH DR SUITE 410
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City | AUSTELL
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State | GA
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Zip | 30106-6810
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Country | US
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Telephone | 678-741-5000
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Fax | 770-944-4492
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 046761
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License Number State | GA
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