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General NPI Number Information
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NPI Number | 1477683811
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Entity Type | Individual
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Provider Name | WATONNA LYNN TURNER NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 126 ENTERPRISE PATH SUITE 106
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City | HIRAM
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State | GA
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Zip | 30141-2656
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Country | US
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Telephone | 770-439-9119
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Fax | 770-439-9194
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Provider Business Mailing Address
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Address Line | 132 VENTURE PATH
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City | HIRAM
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State | GA
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Zip | 30141-2674
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Country | US
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Telephone | 770-222-6261
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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 | RN123210
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License Number State | GA
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