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General NPI Number Information
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NPI Number | 1942368139
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Entity Type | Individual
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Provider Name | JULYN FRANCIS LIBURD NP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5230 MEMORIAL DR
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3113
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Country | US
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Telephone | 404-508-6499
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Fax |
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Provider Business Mailing Address
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Address Line | 380 TIMBER TOP DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-1176
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Country | US
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Telephone | 770-507-7761
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN114539
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License Number State | GA
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