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General NPI Number Information
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NPI Number | 1932044807
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Entity Type | Organization
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Legal Business Name | A VISION 4 HOPE
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1800 PHOENIX BLVD STE 200
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City | ATLANTA
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State | GA
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Zip | 30349-5557
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Country | US
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Telephone | 678-705-3814
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Fax | 404-758-1152
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Provider Business Mailing Address
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Address Line | 1800 PHOENIX BLVD STE 200
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City | ATLANTA
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State | GA
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Zip | 30349-5557
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Country | US
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Telephone | 678-705-3814
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Fax | 404-758-1152
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEWAYNE CROWDER
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Credential | NP
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Telephone | 678-705-3814
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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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