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General NPI Number Information
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NPI Number | 1689139651
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Entity Type | Individual
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Provider Name | SHONNA BARKLEY REGISTERED DIETITIAN
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Gender | Female
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 650 PONCE DE LEON AVE NE STE 300
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City | ATLANTA
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State | GA
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Zip | 30308-1864
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Country | US
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Telephone | 404-317-5329
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Fax |
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Provider Business Mailing Address
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Address Line | 650 PONCE DE LEON AVE NE STE 300
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City | ATLANTA
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State | GA
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Zip | 30308-1864
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Country | US
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Telephone | 404-317-5329
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | LD004713
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD004713
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License Number State | GA
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