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General NPI Number Information
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NPI Number | 1255038469
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Entity Type | Individual
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Provider Name | ANNA HARALSON POWELL NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 3330 NORTHSIDE DR STE 200
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City | MACON
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State | GA
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Zip | 31210-2574
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Country | US
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Telephone | 478-309-1809
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Fax |
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Provider Business Mailing Address
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Address Line | 544 CROSS CEDAR RD
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City | WRIGHTSVILLE
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State | GA
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Zip | 31096-5304
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Country | US
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Telephone | 478-232-9361
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP170006
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License Number State | GA
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