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General NPI Number Information
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NPI Number | 1679496905
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Entity Type | Individual
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Provider Name | KIERRA RIOS
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 2655 DALLAS HWY SW STE 430
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City | MARIETTA
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State | GA
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Zip | 30064-7519
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Country | US
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Telephone | 678-559-2508
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Fax |
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Provider Business Mailing Address
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Address Line | 48 VICTORIA HEIGHTS LN
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City | DALLAS
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State | GA
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Zip | 30132-9282
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Country | US
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Telephone | 678-559-2508
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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 | NP298339
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License Number State | GA
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