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General NPI Number Information
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NPI Number | 1578749883
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Entity Type | Individual
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Provider Name | RENEE SIMONE YOLANDA ALLEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 2870 PEACHTREE RD NW STE 915-1248
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City | ATLANTA
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State | GA
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Zip | 30305-2918
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Country | US
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Telephone | 888-623-0152
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Fax | 404-500-0791
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Provider Business Mailing Address
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Address Line | 1103 WRIGHT AVE NE
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City | ATLANTA
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State | GA
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Zip | 30324-2729
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Country | US
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Telephone | 404-694-0152
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Fax | 404-500-0791
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 060787
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License Number State | GA
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