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General NPI Number Information
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NPI Number | 1861826703
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Entity Type | Individual
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Provider Name | MS. VANESSA ADAMS WARD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 1670 CLAIRMONT RD
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City | DECATUR
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State | GA
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Zip | 30033-4004
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Country | US
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Telephone | 404-321-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 4591 HUNTSMAN BND
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City | DECATUR
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State | GA
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Zip | 30034-2502
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Country | US
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Telephone | 678-587-5600
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN115923
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License Number State | GA
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