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General NPI Number Information
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NPI Number | 1972862498
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Entity Type | Individual
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Provider Name | REGINA M. ANDERSON CHARRIER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 3435 ROSE ARBOR CT
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City | ATLANTA
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State | GA
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Zip | 30340-4038
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Country | US
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Telephone | 850-217-4258
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 ROSE ARBOR CT
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City | ATLANTA
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State | GA
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Zip | 30340-4038
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Country | US
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Telephone | 850-217-4258
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 76381
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License Number State | GA
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