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General NPI Number Information
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NPI Number | 1821494352
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Entity Type | Individual
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Provider Name | MARY OPARA DNP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 2090 LAWRENCEVILLE SUWANEE ROAD SUITE 747
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City | SUWANEE
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State | GA
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Zip | 30024
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Country | US
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Telephone | 678-974-0342
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Fax | 770-436-7143
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Provider Business Mailing Address
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Address Line | 2090 LAWRENCEVILLE SUWANEE ROAD SUITE 747
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City | SUWANEE
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State | GA
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Zip | 30024
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Country | US
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Telephone | 770-431-2354
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Fax | 770-436-7143
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN145961
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License Number State | GA
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