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General NPI Number Information
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NPI Number | 1841611761
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Entity Type | Individual
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Provider Name | JEFFREY ANDREW FORBRICK NP-C
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Gender | Male
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | 545 OLD NORCROSS RD SUITE 300
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3389
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Country | US
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Telephone | 678-541-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 545 OLD NORCROSS RD SUITE 300
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3389
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Country | US
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Telephone | 678-541-0777
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN212023
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN212023
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License Number State | GA
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