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General NPI Number Information
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NPI Number | 1932490919
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Entity Type | Individual
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Provider Name | ARDESHIR JAHANIAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 3000 HOSPITAL BLVD
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City | ROSWELL
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State | GA
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Zip | 30076-4915
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Country | US
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Telephone | 770-702-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 10978 BIG CANOE
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City | BIG CANOE
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State | GA
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Zip | 30143-5140
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Country | US
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Telephone | 408-888-8960
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 91627
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License Number State | GA
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