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General NPI Number Information
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NPI Number | 1730076134
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Entity Type | Individual
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Provider Name | ANN MARIE MATHEW NP
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 275 COLLIER RD NW STE 300
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City | ATLANTA
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State | GA
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Zip | 30309-1740
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Country | US
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Telephone | 404-350-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 7608 KILLBARRON DR
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City | LAUREL
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State | MD
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Zip | 20707-6863
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Country | US
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Telephone | 443-570-3387
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | GAA-NP003782
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 2000619736
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | GAA-NP003782
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License Number State | GA
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