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General NPI Number Information
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NPI Number | 1407749211
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Entity Type | Individual
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Provider Name | CHRISTIANA ASARE
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 255 WILD BARLEY WAY
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City | LOGANVILLE
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State | GA
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Zip | 30052-8223
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Country | US
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Telephone | 404-542-2014
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Fax |
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Provider Business Mailing Address
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Address Line | 255 WILD BARLEY WAY
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City | LOGANVILLE
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State | GA
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Zip | 30052-8223
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Country | US
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Telephone | 404-542-2014
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | RN281352
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN281352
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License Number State | GA
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