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General NPI Number Information
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NPI Number | 1700672029
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Entity Type | Individual
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Provider Name | MADALYN SLATON
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Gender | Female
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 108 PROMINENCE CT STE 100
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City | DAWSONVILLE
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State | GA
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Zip | 30534-6340
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Country | US
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Telephone | 706-344-6950
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Fax | 706-344-6951
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Provider Business Mailing Address
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Address Line | 132 DAWSON MANOR CT
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City | DAWSONVILLE
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State | GA
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Zip | 30534-6030
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Country | US
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Telephone | 770-561-2489
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN300050
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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