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General NPI Number Information
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NPI Number | 1790086601
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Entity Type | Individual
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Provider Name | TANYA HANCOCK ADAMS NP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 25 NOMORA DRIVE
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City | DANIELSVILLE
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State | GA
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Zip | 30633
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Country | US
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Telephone | 706-795-9588
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Fax | 706-795-0969
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Provider Business Mailing Address
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Address Line | PO BOX 1110
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City | DANIELSVILLE
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State | GA
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Zip | 30633-1110
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Country | US
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Telephone | 706-795-9588
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Fax | 706-795-0969
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN120873
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License Number State | GA
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