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General NPI Number Information
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NPI Number | 1023964269
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Entity Type | Individual
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Provider Name | SHARI KAY DARK-REYNOLDS
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 229 S DAVIS RD STE 900
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City | LAGRANGE
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State | GA
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Zip | 30241-2609
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Country | US
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Telephone | 877-848-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 918 FARWELL DR
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City | COLUMBUS
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State | GA
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Zip | 31906-4222
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Country | US
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Telephone | 706-593-4771
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MSW004604
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License Number State | GA
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