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General NPI Number Information
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NPI Number | 1104358803
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Entity Type | Individual
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Provider Name | SIMONE KEINIA SHARP-BUCKNOR RN
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Gender | Female
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 2400 MOUNT ZION PKWY
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City | JONESBORO
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State | GA
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Zip | 30236-2500
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Country | US
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Telephone | 470-303-4249
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Fax | 770-603-3675
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Provider Business Mailing Address
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Address Line | 2400 MOUNT ZION PKWY
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City | JONESBORO
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State | GA
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Zip | 30236-2500
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Country | US
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Telephone | 470-303-4249
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Fax | 770-603-3675
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN150311
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN150311
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License Number State | GA
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