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General NPI Number Information
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NPI Number | 1437549698
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Entity Type | Individual
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Provider Name | BIBI JENNIFER HANIFF PA
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Gender | Female
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 5730 GLENDRIDGE DR NE 230
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City | ATLANTA
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State | GA
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Zip | 30328
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Country | US
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Telephone | 678-752-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 POTOMAC RD
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City | ATLANTA
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State | GA
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Zip | 30338-6979
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Country | US
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Telephone | 404-213-2760
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 7411
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License Number State | GA
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