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General NPI Number Information
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NPI Number | 1871458984
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Entity Type | Individual
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Provider Name | HALI BOHANNON-BURNS
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Gender | Female
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 105 JW PLAZA DR SE STE 10
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City | CALHOUN
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State | GA
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Zip | 30701-1503
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Country | US
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Telephone | 706-383-6376
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Fax |
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Provider Business Mailing Address
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Address Line | 105 JW PLAZA DR SE STE 10
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City | CALHOUN
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State | GA
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Zip | 30701-1503
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Country | US
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Telephone | 706-383-6376
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | RN250176
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN250176
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN250176
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License Number State | GA
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