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General NPI Number Information
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NPI Number | 1780283911
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Entity Type | Individual
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Provider Name | APRIL GRAY AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 5917 NACHOOCHEE TRL
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-3134
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Country | US
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Telephone | 770-656-1070
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Fax |
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Provider Business Mailing Address
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Address Line | 5917 NACHOOCHEE TRL
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-3134
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 241808
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 241808
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 93844
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95210527
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 241808
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License Number State | GA
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