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General NPI Number Information
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NPI Number | 1104009497
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Entity Type | Individual
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Provider Name | JENNIFER COLEMAN COBBS PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 903 PEACHTREE ST NE UNIT 140
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City | ATLANTA
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State | GA
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Zip | 30309-3994
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Country | US
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Telephone | 678-782-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 WHEATON WAY
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City | ATLANTA
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State | GA
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Zip | 30328-4954
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Country | US
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Telephone | 404-242-4407
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4537
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License Number State | GA
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