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General NPI Number Information
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NPI Number | 1447048152
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Entity Type | Individual
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Provider Name | MAGDA LOUIS-JUSTE
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 677 CHURCH ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-1101
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Country | US
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Telephone | 770-793-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 4948 SAINT JOHNS CT SW
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City | MABLETON
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State | GA
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Zip | 30126-1625
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Country | US
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Telephone | 516-737-8022
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 316427
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 316427
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 316427
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License Number State | GA
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