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General NPI Number Information
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NPI Number | 1497789028
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Entity Type | Individual
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Provider Name | DOROTHY G. HOUSE RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1670 CLAIRMONT ROAD 3A 179
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City | ATLANTA
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State | GA
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Zip | 30033
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Country | US
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Telephone | 404-321-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 11202 WOODIRON DR
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City | DULUTH
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State | GA
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Zip | 30097-3766
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Country | US
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Telephone | 678-584-0497
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN146286
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License Number State | GA
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