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General NPI Number Information
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NPI Number | 1770024820
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Entity Type | Individual
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Provider Name | ROSANI PATEL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 1401 DRESDEN DR NE
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City | BROOKHAVEN
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State | GA
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Zip | 30319-3579
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Country | US
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Telephone | 404-814-9808
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Fax | 404-814-6086
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Provider Business Mailing Address
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Address Line | 2114 MONHEGAN WAY SE
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City | SMYRNA
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State | GA
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Zip | 30080-6364
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Country | US
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Telephone | 770-337-7123
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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 | RN203987
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License Number State | GA
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