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General NPI Number Information
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NPI Number | 1548772536
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Entity Type | Individual
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Provider Name | D'NEKA COLZIE MPA-C
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Gender | Female
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2663 EASTERLY PL
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City | DECATUR
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State | GA
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Zip | 30035-4004
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Country | US
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Telephone | 770-981-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 145 CRAINES VW
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City | COVINGTON
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State | GA
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Zip | 30014-7651
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Country | US
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Telephone | 404-276-5919
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 08505
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License Number State | GA
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