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General NPI Number Information
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NPI Number | 1205489200
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Entity Type | Individual
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Provider Name | DEBORAH E. FAULKNER RN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 11578 HIGHWAY 27
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City | SUMMERVILLE
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State | GA
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Zip | 30747-5873
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Country | US
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Telephone | 706-857-5441
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Fax | 888-857-9969
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Provider Business Mailing Address
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Address Line | PO BOX 1027
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City | LA FAYETTE
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State | GA
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Zip | 30728-1027
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Country | US
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Telephone | 423-598-8465
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Fax | 706-639-2071
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN041450
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License Number State | GA
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