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General NPI Number Information
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NPI Number | 1144376542
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Entity Type | Individual
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Provider Name | JENNY V. NUNEZ DDS
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 950 W PEACHTREE ST NW UNIT 1013
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City | ATLANTA
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State | GA
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Zip | 30309-3858
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Country | US
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Telephone | 912-805-9267
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Fax |
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Provider Business Mailing Address
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Address Line | 7760 SPALDING DR
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City | NORCROSS
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State | GA
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Zip | 30092-4207
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Country | US
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Telephone | 770-270-5700
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Fax | 770-209-0092
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN15755
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS9121
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13321
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN15755
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License Number State | GA
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