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General NPI Number Information
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NPI Number | 1710845565
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Entity Type | Individual
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Provider Name | LISA ZAINAB OWUSUS MENSAH RN
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3305 MORGAN RD LOT 44A
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City | BUFORD
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State | GA
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Zip | 30519-5513
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Country | US
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Telephone | 678-656-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 3305 MORGAN RD LOT 44A
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City | BUFORD
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State | GA
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Zip | 30519-5513
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN323699
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License Number State | GA
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