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General NPI Number Information
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NPI Number | 1881464105
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Entity Type | Individual
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Provider Name | RAKIEMA TAMEKA SELLARS-POMPEY DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 300 EAST HOSPITAL ROAD
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 706-787-5811
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 MARTINIQUE DR
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City | AUGUSTA
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State | GA
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Zip | 30909-2633
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Country | US
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Telephone | 757-206-6607
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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 | 0024188986
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License Number State | VA
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