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General NPI Number Information
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NPI Number | 1881915163
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Entity Type | Individual
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Provider Name | SHAMIR K BHIKHA D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 13057 HIGHWAY 9 N SUITE# 210
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City | ALPHARETTA
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State | GA
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Zip | 30004-5139
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Country | US
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Telephone | 770-559-0348
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Fax | 770-559-0359
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Provider Business Mailing Address
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Address Line | 13057 HIGHWAY 9 N SUITE# 210
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City | ALPHARETTA
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State | GA
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Zip | 30004-5139
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Country | US
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Telephone | 770-559-0348
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Fax | 770-559-0359
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD001223
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License Number State | GA
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