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General NPI Number Information
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NPI Number | 1821406190
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Entity Type | Individual
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Provider Name | GINGER SWILLEY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 715 QUEEN CITY PKWY
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City | GAINESVILLE
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State | GA
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Zip | 30501-4348
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Country | US
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Telephone | 770-297-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 1365 OLD MILL RD
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City | CORNELIA
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State | GA
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Zip | 30531-4863
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Country | US
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Telephone | 770-789-7927
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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 | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number | 069-140-H
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN217876
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License Number State | GA
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