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General NPI Number Information
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NPI Number | 1508925272
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Entity Type | Individual
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Provider Name | CATHY SLAY-CHIPP APRN-C
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 4220 CORAL PARK DR
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City | BRUNSWICK
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State | GA
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Zip | 31520-3016
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Country | US
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Telephone | 912-275-8165
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Fax | 904-212-1632
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Provider Business Mailing Address
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Address Line | 4862 MALABAR DR
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City | BRUNSWICK
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State | GA
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Zip | 31520-2810
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Country | US
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Telephone | 912-230-1556
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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 | RN051489
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License Number State | GA
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