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General NPI Number Information
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NPI Number | 1811850373
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Entity Type | Individual
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Provider Name | MADELINE CULPEPPER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2418 N OAK ST STE J
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City | VALDOSTA
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State | GA
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Zip | 31602-2575
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Country | US
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Telephone | 229-588-4688
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Fax | 229-293-0770
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Provider Business Mailing Address
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Address Line | 2418 N OAK ST STE J
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City | VALDOSTA
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State | GA
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Zip | 31602-2575
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Country | US
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Telephone | 229-588-4688
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Fax | 229-293-0770
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | NP303703
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License Number State | GA
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