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General NPI Number Information
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NPI Number | 1053929091
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Entity Type | Individual
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Provider Name | ROSETTA PARKER-AUSTIN LPC, CPCS
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Gender | Female
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 2232 PEPPERIDGE DR
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City | AUGUSTA
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State | GA
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Zip | 30906-5777
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Country | US
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Telephone | 706-798-9438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20516
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City | AUGUSTA
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State | GA
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Zip | 30916-0516
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Country | US
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Telephone | 706-252-9126
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Fax | 706-798-0629
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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 | LPC006118
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License Number State | GA
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