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General NPI Number Information
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NPI Number | 1942692843
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Entity Type | Individual
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Provider Name | ERICA DANIELLE WARE AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1372 PEACHTREE ST NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 470-964-1700
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Fax | 678-288-5639
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Provider Business Mailing Address
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Address Line | 3030 HEADLAND DR SW STE 600
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City | ATLANTA
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State | GA
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Zip | 30311-5437
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Country | US
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Telephone | 470-832-5973
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Fax | 877-887-5316
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN282438
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License Number State | GA
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