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General NPI Number Information
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NPI Number | 1790749281
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Entity Type | Individual
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Provider Name | JEAN MARIE ROBERTSHAW N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | WELLBE SENIOR MEDICAL 1155 PERIMETER CENTER W, 11TH FLOOR
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City | ATLANTA
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State | GA
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Zip | 30338
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Country | US
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Telephone | 855-492-7642
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-4200
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Country | US
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Telephone | 404-728-6363
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN075809
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License Number State | GA
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