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General NPI Number Information
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NPI Number | 1225855075
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Entity Type | Organization
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Legal Business Name | POWER ATLANTA INC
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1024 AVON AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-4103
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Country | US
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Telephone | 404-301-9989
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Fax | 404-678-4773
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Provider Business Mailing Address
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Address Line | 1024 AVON AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-4103
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Country | US
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Telephone | 404-301-9989
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Fax | 404-678-4773
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ADRIENNE GATES
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Credential |
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Telephone | 404-301-9989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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