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General NPI Number Information
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NPI Number | 1902738487
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Entity Type | Individual
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Provider Name | DR. KARTHIKAYINI KATHIRAVAN
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 777 HEMLOCK ST
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City | MACON
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State | GA
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Zip | 31201-2102
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Country | US
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Telephone | 478-633-7685
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Fax | 478-633-5127
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Provider Business Mailing Address
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Address Line | 631 WHISPERING PINES DR
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City | MACON
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State | GA
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Zip | 31211-6125
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Country | US
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Telephone | 478-633-1000
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 113358
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License Number State | GA
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