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NPI 1962224139

NPI 1962224139 : NADIA NOEL RN : HIRAM, GA

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General NPI Number Information
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    NPI Number           |    1962224139
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    Entity Type          |    Individual 
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    Provider Name        |    NADIA NOEL RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/29/2024
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    Last Update Date     |    08/21/2026
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Provider Practice Location Address
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    Address Line         |    126 ENTERPRISE PATH STE 104 
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    City                 |    HIRAM
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    State                |    GA
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    Zip                  |    30141-2655
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    Country              |    US
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    Telephone            |    678-990-1270
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    59 CRESTBROOK WAY 
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    City                 |    DALLAS
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    State                |    GA
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    Zip                  |    30157-1463
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    APRN-NP303095
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    163WP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
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    License Number       |    RN303095
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    License Number State |    GA
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