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General NPI Number Information
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NPI Number | 1912719170
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Entity Type | Individual
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Provider Name | ADAMA SOW RN
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Gender | Female
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 3250 BUFORD HWY APT 1202
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City | DULUTH
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State | GA
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Zip | 30096-3681
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Country | US
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Telephone | 404-468-0388
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Fax |
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Provider Business Mailing Address
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Address Line | 3250 BUFORD HWY APT 1202
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City | DULUTH
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State | GA
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Zip | 30096-3681
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Country | US
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Telephone | 404-468-0388
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 216623
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License Number State | GA
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