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General NPI Number Information
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NPI Number | 1346803103
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Entity Type | Individual
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Provider Name | JANIE DINH FNP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 140 VANN ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-8963
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Country | US
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Telephone | 770-771-5470
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Fax | 770-771-5471
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Provider Business Mailing Address
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Address Line | 4300 N POINT PKWY STE 300
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City | ALPHARETTA
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State | GA
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Zip | 30022-4102
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Country | US
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Telephone | 770-442-1911
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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 | RN314676
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License Number State | GA
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