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General NPI Number Information
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NPI Number | 1336075431
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Entity Type | Individual
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Provider Name | IANDYA TROTMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 7229 WHEAT ST NE
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City | COVINGTON
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State | GA
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Zip | 30014-1566
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Country | US
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Telephone | 678-625-5132
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Fax |
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Provider Business Mailing Address
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Address Line | 115 OVERLOOK DR
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City | MCDONOUGH
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State | GA
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Zip | 30252-2953
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Country | US
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Telephone | 770-670-1193
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Fax | 770-670-1193
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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 | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | RN280651
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License Number State | GA
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