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General NPI Number Information
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NPI Number | 1780102996
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Entity Type | Individual
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Provider Name | STEPHANIE NNAMCHI
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Gender | Female
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 8010 MOUNTAIN RD NE STE 300
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7840
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Country | US
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Telephone | 505-508-1060
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Fax | 505-416-4814
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Provider Business Mailing Address
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Address Line | 300 COLONIAL CENTER PKWY STE 100
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City | ALPHARETTA
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State | GA
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Zip | 30096-1287
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Country | US
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Telephone | 678-862-2513
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Fax | 505-416-4814
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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 | RN213609
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License Number State | GA
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