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General NPI Number Information
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NPI Number | 1417476987
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Entity Type | Individual
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Provider Name | MAGDALENA SNEDDON
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Gender | Female
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 4646 N SHALLOWFORD RD
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City | ATLANTA
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State | GA
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Zip | 30338-6308
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Country | US
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Telephone | 770-676-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1694 BRASELTON HWY STE 101
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-2812
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Country | US
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Telephone | 770-827-3302
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60814176
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License Number State | WA
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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 | 57114
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN60075
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License Number State | GA
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