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General NPI Number Information
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NPI Number | 1013380567
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Entity Type | Individual
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Provider Name | BATH-AMMI GARCIA MS, CRC, LAPC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 700 WASHINGTON ST NW APT 1006
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City | GAINESVILLE
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State | GA
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Zip | 30501-3587
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Country | US
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Telephone | 404-713-7831
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Fax |
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Provider Business Mailing Address
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Address Line | 700 WASHINGTON ST NW APT 1006
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City | GAINESVILLE
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State | GA
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Zip | 30501-3587
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Country | US
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Telephone | 404-713-7831
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 00117334
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC004702
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License Number State | GA
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