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General NPI Number Information
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NPI Number | 1689743270
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Entity Type | Individual
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Provider Name | REGINALD DRUMGOOLE R.N.-N.P.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 1400 BUFORD HWY # R10
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City | BUFORD
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State | GA
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Zip | 30518-8721
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Country | US
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Telephone | 404-294-7033
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Fax | 404-296-4661
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Provider Business Mailing Address
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Address Line | 1523 GREAT SHOALS CIR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-7098
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Country | US
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Telephone | 404-271-3326
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Fax | 404-296-4661
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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 | RN129801
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License Number State | GA
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