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General NPI Number Information
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NPI Number | 1639676638
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Entity Type | Individual
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Provider Name | EMILY GRACE POINDEXTER MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1001 JOHNSON FERRY RD
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City | ATLANTA
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State | GA
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Zip | 30342-1605
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Country | US
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Telephone | 404-785-2273
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Fax | 404-785-9168
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Provider Business Mailing Address
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Address Line | 1217 KENDRICK RD NE
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City | BROOKHAVEN
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State | GA
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Zip | 30319-2819
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Country | US
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Telephone | 317-366-9243
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Fax | 404-785-5846
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 91720
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 91720
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 39077
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License Number State | AL
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