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General NPI Number Information
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NPI Number | 1205181229
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Entity Type | Individual
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Provider Name | WIENELMINE ESTIME NP
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 315 BLVD. N.E., #528 AMC/ PROFESSIONAL BUILDINGS
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City | ATLANTA
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State | GA
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Zip | 30312
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Country | US
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Telephone | 404-748-9006
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Fax | 404-525-0595
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Provider Business Mailing Address
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Address Line | 6908 TALKEETNA CT SW
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City | ATLANTA
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State | GA
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Zip | 30331-9480
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Country | US
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Telephone | 404-346-0400
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN178611
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License Number State | GA
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