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General NPI Number Information
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NPI Number | 1659251205
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Entity Type | Individual
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Provider Name | AMARI PICKETT
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Gender |
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2606 MANCHESTER EXPY
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City | COLUMBUS
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State | GA
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Zip | 31904-5207
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Country | US
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Telephone | 706-989-5903
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 RIVER RD APT 2107
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City | COLUMBUS
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State | GA
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Zip | 31904-2727
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Country | US
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Telephone | 404-709-6227
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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