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General NPI Number Information
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NPI Number | 1629486444
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Entity Type | Individual
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Provider Name | IOULIA CHITOMFWA NP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 55 WHITCHER ST NE STE 350
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City | MARIETTA
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State | GA
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Zip | 30060-1129
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Country | US
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Telephone | 770-424-6893
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 HOSPITAL BLVD
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City | ROSWELL
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State | GA
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Zip | 30076-4915
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Country | US
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Telephone | 770-751-2500
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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 | RN248239
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN248239
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN248239
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN248239
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License Number State | GA
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