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General NPI Number Information
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NPI Number | 1215569843
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Entity Type | Individual
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Provider Name | JESSI'CA COLEY MPH, CD(DONA)
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 451 BROOKVIEW DR STE A
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City | RIVERDALE
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State | GA
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Zip | 30274-7206
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Country | US
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Telephone | 407-387-0522
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 961064
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City | RIVERDALE
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State | GA
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Zip | 30296-7064
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Country | US
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Telephone | 407-387-0522
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | VA
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Taxonomy #10
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | VA
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Taxonomy #11
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | GA
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