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General NPI Number Information
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NPI Number | 1770427429
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Entity Type | Individual
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Provider Name | ADRIENNE SARA TEAL
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 5670 PEACHTREE DUNWOODY RD STE 1000
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City | ATLANTA
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State | GA
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Zip | 30342-4790
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Country | US
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Telephone | 404-255-1930
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Fax |
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Provider Business Mailing Address
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Address Line | 202 ROSEBURY WAY
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City | CANTON
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State | GA
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Zip | 30115-7559
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Country | US
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Telephone | 678-986-2771
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN-NP332714
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License Number State | GA
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