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General NPI Number Information
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NPI Number | 1265982284
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Entity Type | Individual
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Provider Name | MRS. SABINE DOIRIN
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Gender | Female
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1005 BOULDER DR
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City | GRAY
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State | GA
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Zip | 31032-6141
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Country | US
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Telephone | 478-621-2072
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Fax |
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Provider Business Mailing Address
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Address Line | 2093 GREAT SHOALS CIR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-2718
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Country | US
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Telephone | 678-907-6200
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN171774
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License Number State | GA
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