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General NPI Number Information
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NPI Number | 1952784274
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Entity Type | Individual
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Provider Name | SHIVANI JERATH MD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2015
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 3275 N POINT PKWY STE 204
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City | ALPHARETTA
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State | GA
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Zip | 30005-4708
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Country | US
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Telephone | 706-495-1928
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Fax | 470-851-3466
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Provider Business Mailing Address
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Address Line | 3275 N POINT PKWY STE 204
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City | ALPHARETTA
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State | GA
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Zip | 30005-4708
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Country | US
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Telephone | 706-495-1928
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Fax | 866-531-9631
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 296959
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 79638
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License Number State | GA
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