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General NPI Number Information
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NPI Number | 1700430857
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Entity Type | Individual
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Provider Name | JAMECIA DARCIA LEDGSITER CLC, CNA
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Gender | Female
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 325 CEN OLY PK DR NW UNIT 1530
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City | ATLANTA
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State | GA
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Zip | 30313-1956
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Country | US
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Telephone | 833-460-0121
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Fax |
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Provider Business Mailing Address
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Address Line | 325 CEN OLY PK DR NW UNIT 1530
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City | ATLANTA
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State | GA
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Zip | 30313-1956
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Country | US
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Telephone | 833-460-0121
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | ALPP-257356
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CN0030027421
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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