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General NPI Number Information
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NPI Number | 1033712716
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Entity Type | Individual
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Provider Name | CORA ONEAL FNP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 616 19TH ST
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City | COLUMBUS
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State | GA
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Zip | 31901-1528
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Country | US
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Telephone | 706-494-4075
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Fax |
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Provider Business Mailing Address
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Address Line | 5224 75TH ST STE D
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City | LUBBOCK
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State | TX
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Zip | 79424-2525
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Country | US
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Telephone |
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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 | F07200095
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License Number State | GA
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