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General NPI Number Information
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NPI Number | 1639840556
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Entity Type | Organization
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Legal Business Name | CONSULT WITH ME HEALTH & WHOLENESS PC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 1970 MAIN ST E STE B3
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City | SNELLVILLE
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State | GA
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Zip | 30078-6463
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Country | US
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Telephone | 470-467-4680
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Fax |
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Provider Business Mailing Address
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Address Line | 2274 SALEM RD SE STE 106-238
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City | CONYERS
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State | GA
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Zip | 30013-2097
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Country | US
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Telephone | 770-261-1108
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHARONDA FORTE
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Credential | NURSE PRACTITIONER
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Telephone | 270-987-1338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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