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General NPI Number Information
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NPI Number | 1366460776
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Entity Type | Individual
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Provider Name | CHERYL SCHENK R.N., A.R.N.P
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1670 CLAIRMONT RD
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City | DECATUR
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State | GA
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Zip | 30033-4004
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Country | US
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Telephone | 404-321-6111
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Fax | 404-235-3011
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Provider Business Mailing Address
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Address Line | 3778 HARTS MILL CT
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City | ATLANTA
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State | GA
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Zip | 30341-1731
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Country | US
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Telephone | 770-454-7364
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN050217
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License Number State | GA
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