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General NPI Number Information
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NPI Number | 1770531550
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Entity Type | Organization
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Legal Business Name | NORTH MACON FAMILY HEALTHCARE ASSOCIATES
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 420 LAMAR RD N
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City | MACON
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State | GA
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Zip | 31210-7110
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Country | US
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Telephone | 478-471-0089
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Fax | 478-471-0708
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Provider Business Mailing Address
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Address Line | 420 LAMAR RD N
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City | MACON
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State | GA
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Zip | 31210-7110
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Country | US
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Telephone | 478-471-0089
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Fax | 478-471-0708
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Authorized Official
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Title or Position | PARTNER
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Name | JENNIFER P DUKE
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Credential | MD
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Telephone | 478-471-0089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 04210
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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