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General NPI Number Information
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NPI Number | 1508340456
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Entity Type | Individual
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Provider Name | FARAH ABDI BUCK APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2386 BOLTON RD NW
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City | ATLANTA
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State | GA
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Zip | 30318-1232
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Country | US
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Telephone | 404-352-2810
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Fax | 404-605-0602
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Provider Business Mailing Address
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Address Line | 885 WOODSTOCK RD STE 430
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City | ROSWELL
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State | GA
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Zip | 30075-2211
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Country | US
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Telephone |
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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 | RN330783
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | RN330783
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | RN330783
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License Number State | GA
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