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General NPI Number Information
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NPI Number | 1548958648
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Entity Type | Individual
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Provider Name | RONALD SEAN DEMEYER FNP
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Gender | Male
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 931 E WINTHROPE AVE
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City | MILLEN
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State | GA
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Zip | 30442-1839
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Country | US
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Telephone | 478-982-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 591 SISTERS FERRY RD
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City | CLYO
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State | GA
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Zip | 31303-3514
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Country | US
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Telephone | 912-667-8009
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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 | APRN-NP168404
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License Number State | GA
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