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General NPI Number Information
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NPI Number | 1295277754
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Entity Type | Individual
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Provider Name | MS. DELPHINE SITSOFE AYIVOR
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Gender | Female
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 2022 10TH AVE
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City | COLUMBUS
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State | GA
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Zip | 31901-3724
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Country | US
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Telephone | 732-687-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 9264 GARRETT LAKE DR
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City | MIDLAND
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State | GA
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Zip | 31820-4446
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Country | US
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Telephone | 732-687-2012
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN-NP212661
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 364SC2300X
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Taxonomy Name | Chronic Care Clinical Nurse Specialist
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License Number | RN212661
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License Number State | GA
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