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General NPI Number Information
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NPI Number | 1922887058
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Entity Type | Organization
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Legal Business Name | NPRACTICE
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 4046 HIGHWAY 154 # 106
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City | NEWNAN
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State | GA
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Zip | 30265-2330
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Country | US
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Telephone | 678-383-2590
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HURON ST
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City | NEWNAN
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State | GA
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Zip | 30263-8702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KASHEIKA NACOLE WILLIAMS
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Credential | FNP
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Telephone | 229-224-3177
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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