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General NPI Number Information
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NPI Number | 1992232193
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Entity Type | Individual
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Provider Name | SHANA KOTHARI MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 3886 PRINCETON LAKES WAY SW STE 240
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City | ATLANTA
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State | GA
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Zip | 30331-5511
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Country | US
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Telephone | 678-593-1280
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Fax | 678-593-1290
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Provider Business Mailing Address
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Address Line | 3886 PRINCETON LAKES WAY SW STE 240
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City | ATLANTA
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State | GA
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Zip | 30331-5511
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Country | US
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Telephone | 678-593-1280
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Fax | 678-593-1290
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.070937
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 101186
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License Number State | GA
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