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General NPI Number Information
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NPI Number | 1689439960
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Entity Type | Individual
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Provider Name | AMBER DASHAI KING MSN, APRN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 406 CENTRAL DR
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City | EAST DUBLIN
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State | GA
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Zip | 31027-7412
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Country | US
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Telephone | 478-488-3057
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 N POINT PKWY STE 300
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City | ALPHARETTA
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State | GA
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Zip | 30022-4102
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN281433
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License Number State | GA
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