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General NPI Number Information
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NPI Number | 1942032651
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Entity Type | Individual
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Provider Name | NATHAN FRANCIS JANIK PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3100 DURALEIGH RD
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City | RALEIGH
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State | NC
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Zip | 27612-8106
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Country | US
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Telephone | 919-220-5255
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HOWARD FARM DR STE 200
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City | CUMMING
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State | GA
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Zip | 30041-6081
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Country | US
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Telephone | 770-758-8964
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Fax | 770-292-6535
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 13587
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-14729
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License Number State | NC
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