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General NPI Number Information
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NPI Number | 1003403940
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Entity Type | Individual
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Provider Name | ABBY ANN BROWN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/27/2020
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 400 WALMART WAY STE F
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City | DAHLONEGA
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State | GA
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Zip | 30533-0829
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Country | US
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Telephone | 706-867-7666
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Fax |
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Provider Business Mailing Address
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Address Line | 903 HUFF RD NW UNIT 2303
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City | ATLANTA
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State | GA
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Zip | 30318-4657
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Country | US
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Telephone | 706-604-6551
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Fax |
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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 | RN289853
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License Number State | GA
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