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General NPI Number Information
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NPI Number | 1336682525
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Entity Type | Individual
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Provider Name | WANDA CARTER-CALHOUN DHSC, MCHES
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Gender | Female
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 784 RED WOLF RUN
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City | ATLANTA
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State | GA
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Zip | 30349-1215
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Country | US
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Telephone | 678-360-5465
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Fax |
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Provider Business Mailing Address
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Address Line | 784 RED WOLF RUN
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City | ATLANTA
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State | GA
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Zip | 30349-1215
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Country | US
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Telephone | 678-360-5465
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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 | 13607
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 13607
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License Number State | GA
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