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General NPI Number Information
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NPI Number | 1760771588
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Entity Type | Individual
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Provider Name | ALISON PEDEN NP
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Gender | Female
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 800 GI MADDOX PKWY
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City | CHATSWORTH
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State | GA
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Zip | 30705-4008
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Country | US
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Telephone | 706-695-1992
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Fax | 866-348-6516
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Provider Business Mailing Address
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Address Line | 800 GI MADDOX PKWY
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City | CHATSWORTH
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State | GA
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Zip | 30705-4008
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Country | US
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Telephone | 706-695-1992
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Fax | 866-348-6516
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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 | APRN-NP181612
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License Number State | GA
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