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General NPI Number Information
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NPI Number | 1578020103
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Entity Type | Individual
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Provider Name | STACEY LEIGH NEWPHER RNC, MSN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/01/2019
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Last Update Date | 02/17/2024
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Provider Practice Location Address
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Address Line | 1000 JOHNSON FY RD NE
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City | ATLANTA
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State | GA
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Zip | 30342-1611
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Country | US
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Telephone | 404-300-2662
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Fax | 404-300-2658
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Provider Business Mailing Address
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Address Line | 6735 BRANDON MILL RD NW
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City | ATLANTA
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State | GA
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Zip | 30328
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Country | US
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Telephone | 404-202-4888
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN151626
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License Number State | GA
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