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General NPI Number Information
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NPI Number | 1003314824
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Entity Type | Individual
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Provider Name | TANIA VAN ROCHELLE-CATOE MS LPC NCC
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 376 POWDER SPRINGS ST STE 240A
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City | MARIETTA
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State | GA
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Zip | 30064-3499
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Country | US
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Telephone | 678-444-4505
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Fax |
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Provider Business Mailing Address
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Address Line | 1292 OCTAVIA CT
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City | MARIETTA
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State | GA
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Zip | 30062-4914
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Country | US
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Telephone | 404-384-6154
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC009763
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License Number State | GA
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