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General NPI Number Information
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NPI Number | 1508719279
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Entity Type | Individual
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Provider Name | ANNA ROLAND FNP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 105 COLLEGE ST
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City | EASTMAN
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State | GA
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Zip | 31023-6168
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Country | US
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Telephone | 478-220-5717
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Fax |
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Provider Business Mailing Address
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Address Line | 128 DIANE ST
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City | COCHRAN
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State | GA
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Zip | 31014-5703
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Country | US
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Telephone | 478-308-4706
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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 | APRN-NP309265
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License Number State | GA
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