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General NPI Number Information
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NPI Number | 1770035248
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Entity Type | Individual
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Provider Name | CELISA MCGRONE ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1509 RITCHIE HWY
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City | ARNOLD
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State | MD
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Zip | 21012
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Country | US
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Telephone | 410-757-7600
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Fax | 410-626-8043
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Provider Business Mailing Address
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Address Line | 2799 LAWRENCEVILLE HWY STE 104
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City | DECATUR
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State | GA
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Zip | 30033-2517
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Country | US
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Telephone | 404-297-3440
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Fax | 770-741-0948
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60790736
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN232254
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R232956
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN60790807
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License Number State | WA
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