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General NPI Number Information
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NPI Number | 1043586803
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Entity Type | Organization
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Legal Business Name | THE ESPOSITO INSTITUTE, INC.
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 410 HARALSON PL STE 3
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3087
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Country | US
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Telephone | 770-998-6642
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1074
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City | YOUNG HARRIS
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State | GA
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Zip | 30582-1074
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. BENITA A. ESPOSITO
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Credential | LPC
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Telephone | 770-998-6642
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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 | 000300
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License Number State | GA
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