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General NPI Number Information
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NPI Number | 1356360622
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Entity Type | Individual
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Provider Name | JOY RENEE HARRELL P.A.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE STE AG05
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-712-7022
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 COTILLION DR UNIT 4216
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City | DUNWOODY
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State | GA
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Zip | 30338-7904
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Country | US
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Telephone | 404-786-5335
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 004251
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License Number State | GA
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