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General NPI Number Information
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NPI Number | 1720975824
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Entity Type | Individual
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Provider Name | RANA SCARLETT ROBERTS APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1575 NORTHEAST EXPY NE
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City | BROOKHAVEN
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State | GA
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Zip | 30329-2401
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Country | US
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Telephone | 404-785-0919
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Fax |
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Provider Business Mailing Address
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Address Line | 2091 EMERY PL NE
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City | ATLANTA
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State | GA
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Zip | 30317-1233
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Country | US
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Telephone | 404-245-7914
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN139150
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License Number State | GA
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