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General NPI Number Information
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NPI Number | 1679071260
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Entity Type | Individual
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Provider Name | DANA M. SELLERS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/29/2018
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 105 FISCHER MARKETPLACE LN STE 100
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City | SHARPSBURG
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State | GA
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Zip | 30277-3680
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Country | US
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Telephone | 678-633-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 54 HARRIS CT
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City | NEWNAN
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State | GA
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Zip | 30263-4663
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Country | US
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Telephone | 678-378-0098
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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 | RN112220
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License Number State | GA
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