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General NPI Number Information
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NPI Number | 1366810590
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Entity Type | Individual
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Provider Name | REBECCA CAWTHON NP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE OFC F711
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City | ATLANTA
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State | GA
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Zip | 30322-8407
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Country | US
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Telephone | 404-416-0722
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 CLIFTON RD NE STE 1017
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City | ATLANTA
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State | GA
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Zip | 30329-4021
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Country | US
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Telephone | 404-416-0722
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Fax | 404-728-6925
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | RN279567
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5007958
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN279567
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License Number State | GA
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