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General NPI Number Information
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NPI Number | 1285195891
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Entity Type | Individual
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Provider Name | ANAMARIA UCEDA MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 5780 PEACHTREE DUNWOODY RD STE 295
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City | ATLANTA
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State | GA
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Zip | 30342-1544
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Country | US
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Telephone | 404-255-0621
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Fax |
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Provider Business Mailing Address
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Address Line | 11885 E 12 MILE RD STE 202A
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City | WARREN
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State | MI
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Zip | 48093-3469
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Country | US
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Telephone | 404-631-7398
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 101148
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License Number State | GA
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