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General NPI Number Information
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NPI Number | 1619564176
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Entity Type | Individual
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Provider Name | FLORENCE BABATOPE
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | MINUTECLINIC #10357 1544 BASS ROAD
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City | MACON
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State | GA
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Zip | 31210-3121
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Country | US
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Telephone | 478-471-4494
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Fax |
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Provider Business Mailing Address
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Address Line | 5885 GLENRIDGE DR
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City | ATLANTA
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State | GA
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Zip | 30328-5512
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN158276
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License Number State | GA
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