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General NPI Number Information
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NPI Number | 1619846540
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Entity Type | Individual
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Provider Name | ABIDE BATASSI
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 226 WILLIS DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7272
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Country | US
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Telephone | 770-847-8406
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Fax |
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Provider Business Mailing Address
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Address Line | 95 RIDGEWOOD TRL
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-4983
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Country | US
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Telephone | 404-543-8636
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP235761
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License Number State | GA
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