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General NPI Number Information
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NPI Number | 1063022382
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Entity Type | Individual
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Provider Name | MR. JAMES O TODD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2020
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Last Update Date | 08/01/2020
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Provider Practice Location Address
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Address Line | 5505 ROSWELL RD
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City | ATLANTA
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State | GA
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Zip | 30342-1985
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Country | US
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Telephone | 770-627-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 4875 PEACHTREE DUNWOODY RD
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City | ATLANTA
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State | GA
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Zip | 30342-2400
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Country | US
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Telephone | 404-886-7882
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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 | F01200012
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License Number State | GA
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