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General NPI Number Information
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NPI Number | 1578909834
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Entity Type | Individual
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Provider Name | ADADREN LAVETTE SKRINE C.N.A
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Gender | Female
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 5680 N ALLEN RD SE
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City | MABLETON
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State | GA
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Zip | 30126-2634
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Country | US
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Telephone | 404-734-2923
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Fax |
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Provider Business Mailing Address
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Address Line | 5680 N ALLEN RD SE
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City | MABLETON
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State | GA
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Zip | 30126-2634
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Country | US
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Telephone | 404-734-2923
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CN0028871533
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License Number State | GA
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