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General NPI Number Information
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NPI Number | 1407514615
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Entity Type | Individual
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Provider Name | NEDRA HEATH APRN
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Gender | Female
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Dates
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Enumeration Date | 12/04/2021
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 310 KENNESTONE HOSPITAL BLVD
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City | MARIETTA
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State | GA
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Zip | 30060-1120
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Country | US
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Telephone | 770-793-7902
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Fax | 770-999-2332
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Provider Business Mailing Address
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Address Line | 6015 CRESTED MOSS DR
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City | ALPHARETTA
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State | GA
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Zip | 30004-5750
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Country | US
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Telephone | 478-737-6887
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN-NP151850
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN-NP151850
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License Number State | GA
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