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General NPI Number Information
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NPI Number | 1568166460
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Entity Type | Individual
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Provider Name | TYCIA DEBRIELLE POPE CNP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 232 19TH ST NW STE 7220
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City | ATLANTA
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State | GA
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Zip | 30363-1131
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Country | US
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Telephone | 404-367-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 JOHNSON FERRY RD
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City | ATLANTA
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State | GA
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Zip | 30342-1606
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Country | US
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Telephone | 404-851-8917
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Fax | 404-303-3636
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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-NP234527
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License Number State | GA
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