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General NPI Number Information
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NPI Number | 1184027369
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Entity Type | Individual
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Provider Name | ANGELA ELIZABETH HARTLEY APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 584 N MACON ST
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City | LUDOWICI
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State | GA
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Zip | 31316-5958
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Country | US
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Telephone | 912-545-2107
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Fax | 912-545-2112
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Provider Business Mailing Address
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Address Line | 150 SCRANTON CONNECTOR
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City | BRUNSWICK
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State | GA
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Zip | 31525-0540
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Country | US
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Telephone |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN-NP150265
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License Number State | GA
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