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General NPI Number Information
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NPI Number | 1508704321
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Entity Type | Individual
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Provider Name | ALISON MUTTON RN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 450 NORTHSIDE CHEROKEE BLVD
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City | CANTON
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State | GA
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Zip | 30115-8015
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Country | US
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Telephone | 770-224-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 570 WENTWORTH CT
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City | CANTON
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State | GA
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Zip | 30114-8805
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Country | US
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Telephone | 770-298-3868
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN281065
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License Number State | GA
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