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General NPI Number Information
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NPI Number | 1578678686
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Entity Type | Individual
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Provider Name | ANNMARIE OLIVET IVERINE PINCKNEY NP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 775 POPLAR RD STE 310
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City | NEWNAN
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State | GA
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Zip | 30265-8303
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Country | US
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Telephone | 770-251-2590
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Fax | 770-251-1490
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Provider Business Mailing Address
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Address Line | 1800 HOWELL MILL RD NW STE 800
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City | ATLANTA
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State | GA
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Zip | 30318-0922
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Country | US
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Telephone | 678-298-3239
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Fax | 404-477-1162
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN333841
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F302383
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License Number State | NY
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