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General NPI Number Information
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NPI Number | 1962196659
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Entity Type | Individual
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Provider Name | NICOLETTE ANASTASIA BARBERINI FNP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 6660 ROSWELL RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-3167
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Country | US
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Telephone | 404-996-0195
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Fax | 404-531-0967
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Provider Business Mailing Address
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Address Line | 2401 NE 65TH ST APT 312
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1554
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Country | US
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Telephone | 516-578-5730
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11026693
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP001822
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License Number State | GA
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