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General NPI Number Information
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NPI Number | 1962340539
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Entity Type | Individual
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Provider Name | ANGELA GIBB FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 3016 ATLANTA RD SE STE 150
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City | SMYRNA
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State | GA
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Zip | 30080-3856
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Country | US
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Telephone | 404-383-0845
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 NORTHSIDE DR NW STE A7 PMB 711
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City | ATLANTA
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State | GA
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Zip | 30318-2695
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Country | US
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Telephone | 404-980-2598
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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-NP710645
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License Number State | GA
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