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Dr. Dara Paul

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NPI Number Detailed Information

Provider Information:

Name: Dr. Dara Paul
Gender: F
Provider License Number If Given: 55417

NPI Information:

NPI: 1588659908
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 10/30/2019

Provider Business Mailing Address:

Address: 3890 REDWINE RD SW STE 210
Atlanta, GA 30331
Phone Number: 4043463417
Fax Number: 4043463418

Provider Business Practice Location Address:

Address: 3890 REDWINE RD SW STE 210
Atlanta, GA 30331
Phone Number: 4043463417
Fax Number: 4043463418

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 207V00000X
State: GA

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