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General NPI Number Information
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NPI Number | 1962363887
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Entity Type | Individual
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Provider Name | RINU ANN CHERIAN
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 980 JOHNSON FERRY RD STE 1040
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City | ATLANTA
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State | GA
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Zip | 30342-1609
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Country | US
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Telephone | 404-299-6488
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Fax |
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Provider Business Mailing Address
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Address Line | 1237 ROCKY BRANCH TRL
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-3855
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Country | US
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Telephone | 678-739-7489
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | GA
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