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General NPI Number Information
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NPI Number | 1952275950
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Entity Type | Individual
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Provider Name | EMMALINE FARMER
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 201 MICHAEL ETCHISON RD
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City | MONROE
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State | GA
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Zip | 30655-5996
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Country | US
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Telephone | 770-267-5877
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Fax |
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Provider Business Mailing Address
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Address Line | 53 CEDAR VALLEY TRL W
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City | WINDER
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State | GA
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Zip | 30680-3650
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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 |
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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 | APRN-NP320962
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License Number State | GA
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