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General NPI Number Information
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NPI Number | 1649970161
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Entity Type | Organization
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Legal Business Name | IRWIN HEALTH SERVICES
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 123 MILL ST
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City | FRANKLIN
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State | GA
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Zip | 30217
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Country | US
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Telephone | 229-472-3656
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SUNFLOWER ST
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City | TYRONE
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State | GA
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Zip | 30290-1890
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Country | US
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Telephone | 229-472-3656
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | NICOLE P IRWIN
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Credential |
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Telephone | 229-472-3656
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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 |
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License Number State |
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