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General NPI Number Information
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NPI Number | 1366926149
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Entity Type | Individual
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Provider Name | HALEY COLSON CONAWAY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 814 TOWNE PARK DR
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City | RINCON
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State | GA
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Zip | 31326-5278
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Country | US
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Telephone | 912-826-4866
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15849
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City | SAVANNAH
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State | GA
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Zip | 31416-2549
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Country | US
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Telephone | 912-303-3552
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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 | RN180799
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License Number State | GA
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