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General NPI Number Information
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NPI Number | 1568025005
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Entity Type | Individual
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Provider Name | FRANKLIN NNAMDI EZEH MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2946 CLIFTON SPRINGS RD
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City | DECATUR
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State | GA
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Zip | 30034-3820
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Country | US
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Telephone | 404-508-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 225 MARKET PLACE CONNECTOR # 1159
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-3542
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Country | US
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Telephone | 470-400-7014
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 92825
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 92825
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License Number State | GA
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