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General NPI Number Information
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NPI Number | 1972958197
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Entity Type | Organization
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Legal Business Name | DARE2CARE PEDIATRICS LLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 11125 JONES BRIDGE RD SUITE 100
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City | ALPHARETTA
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State | GA
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Zip | 30022-7415
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Country | US
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Telephone | 770-615-7000
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Fax | 770-884-4170
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Provider Business Mailing Address
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Address Line | 1960 MARCIA OVERLOOK DR
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City | CUMMING
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State | GA
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Zip | 30041-1329
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Country | US
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Telephone | 770-615-7000
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Fax | 770-884-4170
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Authorized Official
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Title or Position | SOLE MEMBER-
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Name | DR. MADHURI VISWANADHAM
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Credential | MD
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Telephone | 770-615-7000
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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 |
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License Number State |
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