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General NPI Number Information
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NPI Number | 1528938008
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Entity Type | Individual
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Provider Name | GINA PAPA
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Gender |
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 111 MOUNTAIN BROOK DR
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City | CANTON
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State | GA
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Zip | 30115-9045
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Country | US
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Telephone | 678-880-9654
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Fax |
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Provider Business Mailing Address
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Address Line | 1579 MONROE DR NE # F134
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City | ATLANTA
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State | GA
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Zip | 30324-5039
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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 | RN265387
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License Number State | GA
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