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General NPI Number Information
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NPI Number | 1457774507
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Entity Type | Individual
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Provider Name | GLADYS SONE NP
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Gender | Female
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 3355 LENOX RD NE SUITE 750
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City | ATLANTA
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State | GA
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Zip | 30326-1394
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Country | US
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Telephone | 877-260-4747
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Fax | 901-261-4867
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Provider Business Mailing Address
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Address Line | 9155 CRESTWYN HILLS DR
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City | MEMPHIS
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State | TN
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Zip | 38125-8501
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Country | US
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Telephone | 877-260-4747
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Fax | 901-261-4867
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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 | RN176209
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License Number State | GA
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