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General NPI Number Information
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NPI Number | 1821611609
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Entity Type | Individual
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Provider Name | HERA RAHMAN
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Gender | Female
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3020 PACES MILL RD SE
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City | ATLANTA
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State | GA
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Zip | 30339-3744
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Country | US
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Telephone | 770-437-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 969 READING ST
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City | BARTLETT
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State | IL
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Zip | 60103-4558
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Country | US
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Telephone | 630-501-8205
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12990
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License Number State | GA
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