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General NPI Number Information
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NPI Number | 1013871722
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Entity Type | Individual
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Provider Name | MALLORY ANN KUHN
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Gender | Female
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 275 COLLIER RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1709
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Country | US
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Telephone | 404-351-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 955 JUNIPER ST NE UNIT 1314
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City | ATLANTA
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State | GA
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Zip | 30309-5106
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Country | US
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Telephone | 404-617-8881
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 13525
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License Number State | GA
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