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General NPI Number Information
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NPI Number | 1205810249
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Entity Type | Individual
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Provider Name | MELANIE WHITE FAIBICHER NP
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Gender | Female
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 5788 ROSWELL RD
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City | ATLANTA
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State | GA
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Zip | 30328-4904
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Country | US
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Telephone | 404-935-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 650 SILVER PEAK CT
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City | SUWANEE
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State | GA
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Zip | 30024-4025
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Country | US
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Telephone | 404-333-9222
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN130038
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN150038
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License Number State | GA
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