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General NPI Number Information
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NPI Number | 1609209519
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Entity Type | Individual
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Provider Name | ROSALYN ANDERSON THOMAS DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 1035 SOUTHCREST DR STE 200
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6116
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Country | US
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Telephone | 770-716-7999
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Fax | 770-716-8444
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Provider Business Mailing Address
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Address Line | 1035 SOUTHCREST DR STE 200
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6116
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Country | US
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Telephone | 770-716-7999
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Fax | 707-716-8444
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN169551
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License Number State | GA
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