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General NPI Number Information
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NPI Number | 1144556549
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Entity Type | Individual
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Provider Name | SYLVIA HELEN HYDE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 800 PATTERSON RD
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City | LA FAYETTE
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State | GA
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Zip | 30728-3330
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Country | US
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Telephone | 706-638-4112
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Fax | 706-638-4151
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Provider Business Mailing Address
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Address Line | 4727 WHITE OAK DR
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City | OOLTEWAH
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State | TN
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Zip | 37363-5603
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Country | US
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Telephone | 207-522-1600
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN131917
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License Number State | GA
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