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General NPI Number Information
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NPI Number | 1235904608
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Entity Type | Individual
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Provider Name | DEANNA HARDER NP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1535 MOUNT VERNON RD
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City | DUNWOODY
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State | GA
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Zip | 30338-4149
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Country | US
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Telephone | 470-504-1668
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Fax |
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Provider Business Mailing Address
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Address Line | 2598 BALLEW CT NE
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City | MARIETTA
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State | GA
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Zip | 30062-4423
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Country | US
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Telephone | 586-420-4684
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN247021
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License Number State | GA
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