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General NPI Number Information
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NPI Number | 1104952001
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Entity Type | Individual
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Provider Name | MONICA STEVENS-KIRBY LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 380 HOSPITAL DR BLDG A STE 125
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City | MACON
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State | GA
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Zip | 31217-8001
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Country | US
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Telephone | 478-745-8224
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Fax | 478-745-8233
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Provider Business Mailing Address
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Address Line | 380 HOSPITAL DR BLDG A STE 125
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City | MACON
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State | GA
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Zip | 31217-8001
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Country | US
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Telephone | 478-745-8224
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Fax | 478-745-8233
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001044
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License Number State | GA
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