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General NPI Number Information
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NPI Number | 1811506272
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Entity Type | Individual
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Provider Name | STEPHANIE ABEL
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Gender | Female
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 4402 LAWRENCEVILLE RD STE 216
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City | LOGANVILLE
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State | GA
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Zip | 30052-2629
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Country | US
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Telephone | 678-830-2307
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Fax | 678-830-2511
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Provider Business Mailing Address
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Address Line | 910 ATHENS HWY # K270
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City | LOGANVILLE
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State | GA
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Zip | 30052-4952
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Country | US
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Telephone | 678-462-7697
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 256374
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 256374
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License Number State | GA
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