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General NPI Number Information
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NPI Number | 1821157306
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Entity Type | Individual
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Provider Name | JANIS CARTER NP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW BLDG 77 5TH FLOOR
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-4602
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Fax | 404-367-4447
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Provider Business Mailing Address
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Address Line | 5697 MILL VIEW WAY
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City | LITHONIA
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State | GA
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Zip | 30038-4059
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Country | US
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Telephone | 770-322-1928
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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 | 135657
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License Number State | GA
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