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General NPI Number Information
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NPI Number | 1568998177
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Entity Type | Individual
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Provider Name | ROSA GARCIA FNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 475 PHILIP BLVD STE 100
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-8737
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Country | US
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Telephone | 770-995-3300
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Fax | 770-995-3307
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Provider Business Mailing Address
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Address Line | 6300 HOSPITAL PKWY STE 375
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City | JOHNS CREEK
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State | GA
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Zip | 30097-2461
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Country | US
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Telephone | 770-995-3300
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Fax | 770-995-3307
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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 | RN213225
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License Number State | GA
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