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General NPI Number Information
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NPI Number | 1255280517
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Entity Type | Individual
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Provider Name | CAVELLE ALLEN FNP, RN
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Gender | Female
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 21 ORTHO LN
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City | ATLANTA
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State | GA
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Zip | 30329-2315
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Country | US
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Telephone | 404-778-7000
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Fax | 404-778-7117
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Provider Business Mailing Address
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Address Line | 318 SOUND CIR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-4702
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Country | US
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Telephone | 724-812-9705
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Fax | 724-812-9705
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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 | NP325286
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License Number State | GA
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