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General NPI Number Information
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NPI Number | 1487724357
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Entity Type | Individual
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Provider Name | JENNIFER NUNN TARBUTTON MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 610 FERNCREST DR STE A
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City | SANDERSVILLE
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State | GA
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Zip | 31082-1863
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Country | US
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Telephone | 478-552-0006
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Fax | 478-552-0010
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Provider Business Mailing Address
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Address Line | 618 DOGWOOD CIR
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City | SANDERSVILLE
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State | GA
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Zip | 31082-8429
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Country | US
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Telephone | 404-273-0326
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 053306
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License Number State | GA
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