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General NPI Number Information
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NPI Number | 1023715844
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Entity Type | Individual
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Provider Name | AHAOMA ESOCHAGHI
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 223 2ND ST E STE B
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City | TIFTON
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State | GA
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Zip | 31794-0410
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Country | US
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Telephone | 229-339-3721
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Fax | 229-472-9151
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Provider Business Mailing Address
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Address Line | 330 CODY DR
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City | MACON
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State | GA
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Zip | 31216-8211
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Country | US
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Telephone | 267-455-2960
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN333757
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License Number State | GA
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