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General NPI Number Information
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NPI Number | 1598561573
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Entity Type | Individual
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Provider Name | DIANNA BROOKE BARAL APRN
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5550 PEACHTREE PKWY
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-2825
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Country | US
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Telephone | 224-258-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 MASON WOODS DR NE
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City | ATLANTA
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State | GA
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Zip | 30329-3803
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Country | US
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Telephone | 224-258-9830
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | RN315263
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN315263
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License Number State | GA
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