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General NPI Number Information
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NPI Number | 1962458349
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Entity Type | Individual
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Provider Name | PRITIKA BHATIA MD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 2706 HENDERSON CHASE CT
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City | TUCKER
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State | GA
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Zip | 30084-2450
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Country | US
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Telephone | 404-234-4275
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Fax |
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Provider Business Mailing Address
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Address Line | 2706 HENDERSON CHASE COURT
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City | TUCKER
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State | GA
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Zip | 30084
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Country | US
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Telephone | 404-234-4275
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Fax | 404-234-4275
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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 | 60240
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 46103
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License Number State | WI
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