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General NPI Number Information
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NPI Number | 1114226842
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Entity Type | Individual
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Provider Name | BEVERLY O'BRYAN CARTWRIGHT P.A.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 3400C OLD MILTON PKWY # 270
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City | ALPHARETTA
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State | GA
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Zip | 30005-4438
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Country | US
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Telephone | 770-442-1911
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Fax | 770-663-8905
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Provider Business Mailing Address
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Address Line | 1000 CRANBERRY CRK
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City | ROSWELL
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State | GA
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Zip | 30076-2379
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Country | US
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Telephone | 770-442-1911
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Fax | 770-663-8905
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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