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General NPI Number Information
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NPI Number | 1215828579
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Entity Type | Individual
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Provider Name | KORAL F DEAN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1 DOCTORS PARK
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City | CAIRO
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State | GA
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Zip | 39828-3072
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Country | US
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Telephone | 229-378-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 998 TRINITY RD
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City | WHIGHAM
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State | GA
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Zip | 39897-2990
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP297365
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN297365
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License Number State | GA
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