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General NPI Number Information
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NPI Number | 1659217974
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Entity Type | Individual
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Provider Name | WILBERTHE BETTY BOILEAU APRN
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 5960 CROOKED CREEK RD STE 140B
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-6239
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Country | US
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Telephone | 470-738-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 2880 LAKE PORT DR
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City | SNELLVILLE
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State | GA
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Zip | 30039-5453
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Country | US
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Telephone | 470-738-1424
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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 | APRN-NP267582
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License Number State | GA
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