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General NPI Number Information
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NPI Number | 1992250443
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Entity Type | Individual
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Provider Name | NATALIE BONILLA-DURNELL NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-605-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 PACES FERRY RD SE STE 1-1100
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City | ATLANTA
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State | GA
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Zip | 30339-6151
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Country | US
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Telephone | 470-271-3418
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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 | APRN219539
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License Number State | GA
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