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General NPI Number Information
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NPI Number | 1609798503
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Entity Type | Individual
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Provider Name | MONICA OCTAVIA DANIELS-DRAYTON NP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 1520 DEDRICK RD
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City | MC INTYRE
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State | GA
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Zip | 31054-2736
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Country | US
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Telephone | 478-251-3012
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Fax | 973-307-2048
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Provider Business Mailing Address
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Address Line | 1520 DEDRICK RD
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City | MC INTYRE
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State | GA
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Zip | 31054-2736
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Country | US
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Telephone | 478-251-3012
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Fax | 973-307-2048
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP186249
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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 | APRN-NP186249
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | APRN-NP186249
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License Number State | GA
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