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General NPI Number Information
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NPI Number | 1689025991
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Entity Type | Individual
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Provider Name | SHARIAH MCKENZIE SOLOMON CNM, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 603 E LAMAR ST
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City | AMERICUS
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State | GA
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Zip | 31709-3737
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Country | US
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Telephone | 229-928-3444
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Fax | 229-928-3446
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Provider Business Mailing Address
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Address Line | 603 E LAMAR ST
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City | AMERICUS
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State | GA
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Zip | 31709-3737
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Country | US
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Telephone | 229-928-3444
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Fax | 229-928-3446
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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 | RN243031
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | RN243031
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License Number State | GA
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