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General NPI Number Information
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NPI Number | 1073042917
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Entity Type | Individual
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Provider Name | JASMAINE COLEMAN DO
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-2212
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Country | US
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Telephone | 404-872-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 E 19TH ST UNIT 2223
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City | UPLAND
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State | CA
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Zip | 91784-4243
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Country | US
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Telephone | 706-573-6233
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 18951
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101023294
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 101135
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License Number State | GA
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