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General NPI Number Information
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NPI Number | 1720602642
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Entity Type | Individual
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Provider Name | RACHEL RENFRO NP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 06/05/2020
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Provider Practice Location Address
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Address Line | 3161 HOWELL MILL RD NW
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City | ATLANTA
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State | GA
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Zip | 30327-2135
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Country | US
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Telephone | 404-478-2399
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Fax |
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Provider Business Mailing Address
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Address Line | 5426 PLEASANT WOODS DR
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-7594
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Country | US
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Telephone | 706-267-0148
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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 | RN249000
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License Number State | GA
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