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General NPI Number Information
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NPI Number | 1427310564
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Entity Type | Individual
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Provider Name | SHAKAOLA AMAREE' PINERO NP
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Gender | Female
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 10090 MEDLOCK BRIDGE RD
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City | JOHNS CREEK
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State | GA
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Zip | 30097
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Country | US
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Telephone | 470-482-6508
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Fax |
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Provider Business Mailing Address
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Address Line | 5910 SETTLERS PATH LN
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City | CUMMING
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State | GA
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Zip | 30028-8801
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Country | US
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Telephone | 470-358-6269
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2022013815
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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 | A0312051
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License Number State | GA
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