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General NPI Number Information
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NPI Number | 1003388273
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Entity Type | Individual
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Provider Name | JANET BOONE NP
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Gender | Female
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 23 W MLK JR BLVD
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City | MC RAE HELENA
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State | GA
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Zip | 31055-4150
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Country | US
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Telephone | 229-868-2106
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Fax | 229-868-2107
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Provider Business Mailing Address
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Address Line | 820 2ND AVE
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City | EASTMAN
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State | GA
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Zip | 31023-6112
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Country | US
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Telephone | 229-868-2106
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Fax | 229-868-2107
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10181653
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License Number State | GA
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