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General NPI Number Information
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NPI Number | 1043876410
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Entity Type | Individual
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Provider Name | ANNA CAROLYN NAY DO
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Gender | Female
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Dates
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Enumeration Date | 05/11/2019
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 500 MEDICAL CENTER BLVD STE 135
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-8708
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Country | US
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Telephone | 678-312-3317
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Fax |
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Provider Business Mailing Address
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Address Line | 385 N ANGIER AVE NE UNIT 1341
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City | ATLANTA
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State | GA
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Zip | 30308-3117
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Country | US
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Telephone | 816-405-7096
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 92319
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License Number State | GA
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