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General NPI Number Information
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NPI Number | 1598224081
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Entity Type | Individual
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Provider Name | JOICE ATEM ANU
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Gender | Female
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 4075 CHARLES HARDY PKWY STE 122
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City | DALLAS
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State | GA
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Zip | 30157-3317
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Country | US
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Telephone | 404-933-2641
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Fax |
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Provider Business Mailing Address
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Address Line | 4075 CHARLES HARDY PKWY STE 122
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City | DALLAS
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State | GA
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Zip | 30157-3317
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Country | US
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Telephone | 404-933-2641
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 226765
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN226765
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License Number State | GA
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