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General NPI Number Information
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NPI Number | 1679647507
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Entity Type | Individual
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Provider Name | ALCENIA COLEMAN RN, PHD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 6728 CHESEPEAKE TRL
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City | REX
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State | GA
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Zip | 30273-2229
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Country | US
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Telephone | 404-664-6183
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 258
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City | MORROW
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State | GA
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Zip | 30260-0258
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Country | US
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Telephone | 404-664-6183
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN163373
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN163373
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | RN163373
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | RN163373
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License Number State | GA
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