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General NPI Number Information
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NPI Number | 1942345442
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Entity Type | Individual
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Provider Name | BEENA R PARBHU M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 3747 ROSWELL RD STE 201
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City | MARIETTA
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State | GA
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Zip | 30062-6227
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Country | US
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Telephone | 770-578-2868
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Fax | 770-971-8499
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Provider Business Mailing Address
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Address Line | 6095 PROFESSIONAL PKWY STE 100
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-5607
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Country | US
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Telephone | 770-920-2255
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Fax | 770-920-9963
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 41601
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME104615
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 67713
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License Number State | GA
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