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General NPI Number Information
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NPI Number | 1538391453
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Entity Type | Individual
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Provider Name | DAVID R METHENY APRN
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Gender | Male
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2403B OSLER CT
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City | ALBANY
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State | GA
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Zip | 31707-0205
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Country | US
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Telephone | 229-639-3151
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Fax | 229-639-3141
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Provider Business Mailing Address
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Address Line | 2403B OSLER CT
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City | ALBANY
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State | GA
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Zip | 31707-0205
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Country | US
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Telephone | 229-639-3151
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Fax | 229-639-3141
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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 | RN112998
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN112998
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License Number State | GA
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