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General NPI Number Information
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NPI Number | 1871868612
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Entity Type | Organization
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Legal Business Name | WE CARE FAMILY PRACTICE, INC.
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 206 S DIXON ST
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City | ALMA
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State | GA
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Zip | 31510-2704
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Country | US
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Telephone | 912-632-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 206 S DIXON ST
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City | ALMA
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State | GA
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Zip | 31510-2704
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Country | US
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Telephone | 912-632-4000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAT LOTT
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Credential | FNP
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Telephone | 912-632-4000
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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 | RN057626
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License Number State | GA
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