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General NPI Number Information
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NPI Number | 1700854189
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Entity Type | Individual
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Provider Name | SALLYANN MARY MITCHELL-STRANGE NP
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 510 N COBB ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2635
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Country | US
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Telephone | 478-414-1414
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Fax | 478-295-0679
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Provider Business Mailing Address
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Address Line | 803 S MAIN ST
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City | GREENSBORO
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State | GA
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Zip | 30642-1211
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Country | US
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Telephone | 706-453-1201
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Fax | 706-453-2954
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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 | APRN-NP089650
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License Number State | GA
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