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General NPI Number Information
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NPI Number | 1720763394
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Entity Type | Individual
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Provider Name | MARY ELIZABETH FLORIO NP
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Gender | Female
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 300 BULLSBORO DR STE BC
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City | NEWNAN
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State | GA
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Zip | 30263-1680
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Country | US
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Telephone | 770-683-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 POWERS FERRY RD SE STE 302
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City | ATLANTA
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State | GA
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Zip | 30339-5015
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Country | US
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Telephone | 404-307-4061
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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 | RN279617
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License Number State | GA
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