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General NPI Number Information
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NPI Number | 1134485204
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Entity Type | Organization
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Legal Business Name | ANDERSON COUNSELING CENTER
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 907 HILLCREST PKWY SUITE E
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City | DUBLIN
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State | GA
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Zip | 31021-4215
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Country | US
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Telephone | 478-304-1328
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Fax | 949-607-5990
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Provider Business Mailing Address
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Address Line | 907 HILLCREST PKWY SUITE E
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City | DUBLIN
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State | GA
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Zip | 31021-4215
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Country | US
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Telephone | 478-304-1328
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Fax | 949-607-5990
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SHAREE ANDERSON
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Credential |
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Telephone | 478-697-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | GA
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