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General NPI Number Information
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NPI Number | 1851170138
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Entity Type | Individual
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Provider Name | EGRETA STONE NP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1465 WESTWOOD AVE SW
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City | ATLANTA
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State | GA
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Zip | 30310-2346
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Country | US
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Telephone | 470-905-5162
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Fax |
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Provider Business Mailing Address
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Address Line | 7870 BLEUSPARROW DR
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City | FAIRBURN
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State | GA
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Zip | 30213-6541
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Country | US
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Telephone | 470-905-5162
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN272145
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License Number State | GA
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