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General NPI Number Information
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NPI Number | 1497726822
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Entity Type | Individual
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Provider Name | NICOLE CAMILLE ASH-MAPP MD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 1046 RIDGE AVE SW
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City | ATLANTA
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State | GA
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Zip | 30315-1640
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Country | US
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Telephone | 404-688-1350
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Fax | 404-688-4262
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Provider Business Mailing Address
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Address Line | 720 WESTVIEW DRIVE SW HARRIS BLDG., 100-A
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City | ATLANTA
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State | GA
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Zip | 30310
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Country | US
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Telephone | 404-756-1400
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Fax | 404-752-1922
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 042993
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 42993
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License Number State | GA
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