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General NPI Number Information
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NPI Number | 1477095552
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Entity Type | Individual
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Provider Name | NICOLE P IRWIN MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 123 MILL STREET
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City | FRANKLIN
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State | GA
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Zip | 30217-6279
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Country | US
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Telephone | 706-948-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SUNFLOWER ST
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City | TYRONE
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State | GA
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Zip | 30290-1890
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Country | US
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Telephone | 229-472-3656
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN139988
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License Number State | GA
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