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General NPI Number Information
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NPI Number | 1831456318
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Entity Type | Individual
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Provider Name | BITAN GHOSH M.D
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10745 WESTSIDE WAY STE 125
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City | ALPHARETTA
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State | GA
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Zip | 30009-7635
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Country | US
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Telephone | 770-410-4610
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Fax | 888-990-1674
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Provider Business Mailing Address
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Address Line | PO BOX 601643
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City | CHARLOTTE
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State | NC
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Zip | 28260-1643
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Country | US
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Telephone | 704-302-9300
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Fax | 704-302-9301
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2016-00204
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 078626
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License Number State | GA
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