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General NPI Number Information
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NPI Number | 1902214836
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Entity Type | Individual
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Provider Name | LORI ANN LEVINE NP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 1015 DONALD LEE HOLLOWELL PKWY NW
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City | ATLANTA
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State | GA
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Zip | 30318-6653
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Country | US
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Telephone | 404-523-6571
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Fax |
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Provider Business Mailing Address
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Address Line | 634 BROWNWOOD AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-3804
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Country | US
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Telephone | 706-718-2184
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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 | RN225854
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License Number State | GA
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