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General NPI Number Information
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NPI Number | 1518853381
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Entity Type | Individual
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Provider Name | HANNAH MALAYA RAMELB PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1670 SCENIC HWY N STE C
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City | SNELLVILLE
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State | GA
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Zip | 30078-5646
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Country | US
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Telephone | 770-706-4024
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Fax | 770-299-0845
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Provider Business Mailing Address
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Address Line | 5352 BARBERRY AVE
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City | OAKWOOD
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State | GA
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Zip | 30566-0341
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Country | US
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Telephone | 843-330-7544
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 13105
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 13105
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License Number State | GA
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