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General NPI Number Information
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NPI Number | 1215471479
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Entity Type | Individual
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Provider Name | DEANA PERKINS NP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 702 VETERANS PKWY
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City | BARNESVILLE
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State | GA
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Zip | 30204-3470
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Country | US
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Telephone | 943-202-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 756 ARROWHEAD LAKE RD
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City | THOMASTON
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State | GA
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Zip | 30286-5004
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Country | US
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Telephone | 770-862-2053
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | RN205936
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN205936
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NCO-000003
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License Number State | GA
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