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General NPI Number Information
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NPI Number | 1689531089
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Entity Type | Individual
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Provider Name | FAITH H VICKERIE RN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 240 PROSPECT PL UNIT E1
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City | ALPHARETTA
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State | GA
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Zip | 30005-5454
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Country | US
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Telephone | 678-624-1646
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Fax | 678-624-1696
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Provider Business Mailing Address
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Address Line | 12625 LIGHTHOUSE POINTE CT
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City | ALPHARETTA
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State | GA
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Zip | 30005-8754
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Country | US
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Telephone | 678-624-1646
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Fax | 678-624-1696
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | RN098465
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License Number State | GA
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