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General NPI Number Information
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NPI Number | 1952606303
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Entity Type | Individual
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Provider Name | MARILYN RANKIN NP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2011
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 62 MACON ST
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City | MCDONOUGH
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State | GA
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Zip | 30253-3221
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Country | US
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Telephone | 470-220-0621
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Fax | 229-485-1588
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Provider Business Mailing Address
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Address Line | 1203 WALKER CT
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City | MCDONOUGH
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State | GA
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Zip | 30252-8556
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Country | US
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Telephone | 470-220-0621
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Fax | 229-485-1588
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 218147
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License Number State | MD
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