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General NPI Number Information
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NPI Number | 1023621869
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Entity Type | Individual
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Provider Name | NAQUIA SCOTT
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Gender | Female
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Dates
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Enumeration Date | 08/30/2020
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Last Update Date | 08/30/2020
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Provider Practice Location Address
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Address Line | 3330 CUMBERLAND BLVD SE # 3330
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City | ATLANTA
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State | GA
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Zip | 30339-5995
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Country | US
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Telephone | 770-933-6289
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 366091
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City | ATLANTA
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State | GA
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Zip | 30336-6091
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Country | US
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Telephone | 770-688-5221
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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