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General NPI Number Information
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NPI Number | 1851519284
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Entity Type | Organization
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Legal Business Name | MARGARITA STRICKLAND
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 558 HUNTINGTON PL
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City | ROSWELL
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State | GA
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Zip | 30076-4126
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Country | US
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Telephone | 770-985-4257
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14888
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City | ATLANTA
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State | GA
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Zip | 30324-1888
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARGARITA STRICKLAND
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Credential |
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Telephone | 770-985-4257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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