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General NPI Number Information
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NPI Number | 1992131874
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Entity Type | Organization
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Legal Business Name | NP HEALTH 1ST, LLC
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 1779 STANTON RD SW
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City | ATLANTA
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State | GA
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Zip | 30311-4108
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Country | US
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Telephone | 850-339-3245
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Fax |
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Provider Business Mailing Address
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Address Line | 1779 STANTON RD SW
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City | ATLANTA
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State | GA
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Zip | 30311-4108
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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 | FAMILY NURSE PRACTITIONER
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Name | MRS. CERETHA STEPHENS
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Credential | NP
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Telephone | 850-339-3245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 211903NP
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License Number State | GA
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