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General NPI Number Information
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NPI Number | 1114803343
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE PICARDI SFA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 960 JOE FRANK HARRIS PKWY SE
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City | CARTERSVILLE
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State | GA
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Zip | 30120-2129
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Country | US
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Telephone | 470-490-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 30 SHAW BLVD NW
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City | CARTERSVILLE
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State | GA
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Zip | 30121-4629
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Country | US
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Telephone | 678-314-7770
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Fax | 678-314-7770
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 207976
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License Number State | GA
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