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General NPI Number Information
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NPI Number | 1144473604
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Entity Type | Individual
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Provider Name | CARMEN B TURNER PMHCNS
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 3015 VETERANS PKWY S
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City | MOULTRIE
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State | GA
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Zip | 31788-6705
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Country | US
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Telephone | 299-854-8152
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Fax |
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Provider Business Mailing Address
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Address Line | 2545 WINNWOOD CIR
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City | VALDOSTA
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State | GA
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Zip | 31601-7954
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Country | US
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Telephone | 229-560-7823
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN112063CNSPMH NP
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN112063CNSPMH NP
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License Number State | GA
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