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General NPI Number Information
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NPI Number | 1922743376
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Entity Type | Individual
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Provider Name | MASHFIA AHMED
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Gender | Female
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Dates
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Enumeration Date | 04/30/2022
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 2298 BROCKETT RD
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City | TUCKER
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State | GA
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Zip | 30084-4414
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Country | US
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Telephone | 706-425-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 408 WAYWARD WIND DR SW
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City | LILBURN
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State | GA
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Zip | 30047-6436
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Country | US
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Telephone | 404-838-1824
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW011197
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License Number State | GA
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