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General NPI Number Information
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NPI Number | 1447841366
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Entity Type | Individual
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Provider Name | ANNETTE JEAN-PAUL PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 45 N HIGHLAND AVE
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City | ATLANTA
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State | GA
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Zip | 30307
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Country | US
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Telephone | 415-651-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 115 BOSTON AVE UNIT 5112
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City | BRIDGEPORT
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State | CT
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Zip | 06610-9706
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Country | US
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Telephone |
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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 | RN253117
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License Number State | GA
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