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General NPI Number Information
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NPI Number | 1073641015
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Entity Type | Individual
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Provider Name | GINA MICHELLE ELKINS BSW
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 704 HIGHWAY 100 SUITE 101
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City | CENTERVILLE
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State | TN
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Zip | 37033-1171
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Country | US
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Telephone | 931-729-3573
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SADDLE CREEK CIR
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City | DICKSON
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State | TN
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Zip | 37055-2356
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Country | US
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Telephone | 615-446-3220
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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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