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General NPI Number Information
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NPI Number | 1467166181
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Entity Type | Individual
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Provider Name | KARI EDMOND NP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 3088 WASHINGTON RD
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City | EAST POINT
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State | GA
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Zip | 30344-4566
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Country | US
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Telephone | 470-444-3135
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Fax | 404-777-9336
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Provider Business Mailing Address
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Address Line | PO BOX 740015
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City | ATLANTA
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State | GA
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Zip | 30374-0015
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN177078
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License Number State | GA
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