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NPI 1710311824

NPI 1710311824 : MARIE MICHELLE FRANCIS RN- PCHP : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1710311824
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    Entity Type          |    Individual 
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    Provider Name        |    MARIE MICHELLE FRANCIS RN- PCHP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/26/2013
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    Last Update Date     |    08/26/2013
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Provider Practice Location Address
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    Address Line         |    5691 BOREAL WAY SW 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30331-9219
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    Country              |    US
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    Telephone            |    561-900-8274
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    Fax                  |    404-346-1237
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Provider Business Mailing Address
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    Address Line         |    5691 BOREAL WAY SW 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30331-9219
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    Country              |    US
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    Telephone            |    561-900-8274
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    Fax                  |    404-346-1237
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    PCH008199
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN194771
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    RN194771
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    License Number State |    GA
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