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General NPI Number Information
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NPI Number | 1316040264
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Entity Type | Individual
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Provider Name | FELICIA DELORIS WASHINGTON FNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2435 OLD CORNELIA HIGHWAY
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City | GAINSVILLE
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State | GA
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Zip | 30507
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Country | US
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Telephone | 779-533-7230
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Fax |
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Provider Business Mailing Address
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Address Line | 536 WINDER TRL
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City | CANTON
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State | GA
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Zip | 30114-7531
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Country | US
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Telephone | 662-435-7800
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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 | R740067
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN259622
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License Number State | GA
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