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General NPI Number Information
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NPI Number | 1437886199
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Entity Type | Individual
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Provider Name | TORIE LAVERNE MCMILLIAN MSN,APRN,A-GNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 2086 JODECO RD STE 1398
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City | MCDONOUGH
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State | GA
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Zip | 30253-5220
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Country | US
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Telephone | 770-501-6977
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Fax | 770-268-6648
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Provider Business Mailing Address
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Address Line | 32086 JODECO RD STE 1398
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City | MCDONOUGH
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State | GA
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Zip | 30252
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Country | US
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Telephone | 770-501-6977
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Fax | 770-268-6648
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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 | RN208119
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN208119
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN208119
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | RN208119
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License Number State | GA
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