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General NPI Number Information
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NPI Number | 1326418997
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Entity Type | Individual
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Provider Name | SIKANGEZILE ZULU RN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 2505 CREEL RD
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City | COLLEGE PARK
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State | GA
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Zip | 30349-4886
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Country | US
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Telephone | 678-984-4642
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Fax | 770-474-4376
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Provider Business Mailing Address
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Address Line | 907 SWEETBAY COURT HOME
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City | STOCKBRIDGE
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State | GA
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Zip | 30281
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Country | US
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Telephone | 678-984-4642
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Fax | 770-474-2376
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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 | F03170266
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License Number State | GA
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