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General NPI Number Information
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NPI Number | 1912234550
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Entity Type | Individual
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Provider Name | JENEEN A LOMAX CNM
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Gender | Female
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 825 BEECHER ST SW STE 115
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City | ATLANTA
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State | GA
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Zip | 30310-2717
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Country | US
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Telephone | 404-480-3177
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Fax | 470-250-2401
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Provider Business Mailing Address
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Address Line | 1018 REGAL HILLS LN
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City | MABLETON
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State | GA
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Zip | 30126-7265
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Country | US
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Telephone | 312-451-7546
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Fax | 470-250-2401
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | RN264372
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 209007737
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License Number State | IL
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