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General NPI Number Information
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NPI Number | 1346150273
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Entity Type | Individual
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Provider Name | J NIMTZ RN
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Gender | Male
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 1000 MEDICAL CENTER BLVD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-7694
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Country | US
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Telephone | 678-312-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SEVENTH ST
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City | GAINESVILLE
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State | GA
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Zip | 30504-7129
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Country | US
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Telephone | 470-228-9012
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN308825
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License Number State | GA
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