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General NPI Number Information
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NPI Number | 1972300051
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Entity Type | Individual
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Provider Name | ELIZABETH ROSE DUIGNAM FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 05/29/2026
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Provider Practice Location Address
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Address Line | 922 LOS ANGELES AVE NE
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City | ATLANTA
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State | GA
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Zip | 30306-3604
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Country | US
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Telephone | 804-357-5819
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Fax |
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Provider Business Mailing Address
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Address Line | 3505 DULUTH PARK LN STE 400
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City | DULUTH
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State | GA
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Zip | 30096-3203
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN324422
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License Number State | GA
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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 | NP324422
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN324422
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License Number State | GA
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