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General NPI Number Information
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NPI Number | 1235639535
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Entity Type | Individual
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Provider Name | KORINNE LIANA EDWARDS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1640 POWERS FERRY RD SE BUILDING 9, STE 330
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City | MARIETTA
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State | GA
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Zip | 30067
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Country | US
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Telephone | 330-573-8346
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Fax |
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Provider Business Mailing Address
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Address Line | 1899 POWERS FERRY RD SE FL 2
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City | ATLANTA
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State | GA
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Zip | 30339-5620
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Country | US
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Telephone | 678-831-0608
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Fax | 678-831-0564
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-NP284947
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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 | 740849
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 740849
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN284947
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License Number State | GA
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