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General NPI Number Information
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NPI Number | 1659185502
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Entity Type | Individual
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Provider Name | LAURIE MARCHELE JEAN-BAPTISTE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 4327 HUGH HOWELL RD
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City | TUCKER
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State | GA
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Zip | 30084-4739
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Country | US
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Telephone | 678-800-1279
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Fax |
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Provider Business Mailing Address
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Address Line | 1366 KEYS LAKE DR NE
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City | BROOKHAVEN
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State | GA
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Zip | 30319-4139
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Country | US
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Telephone | 857-540-2211
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN323958
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License Number State | GA
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