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General NPI Number Information
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NPI Number | 1568627255
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Entity Type | Individual
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Provider Name | ANDERIA SHIRRELL RHODES-BIGHAM N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 2855 CANDLER RD SUITE 9
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City | DECATUR
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State | GA
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Zip | 30034-1415
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Country | US
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Telephone | 404-243-9630
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Fax | 404-243-8721
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Provider Business Mailing Address
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Address Line | 1703 CHINABERRY CT
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-9109
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Country | US
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Telephone | 404-310-9943
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN066876 NP
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License Number State | GA
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