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General NPI Number Information
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NPI Number | 1134758626
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Entity Type | Individual
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Provider Name | CLAUDIA PATRICIA MORALES LPC, MAC.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 5755 N POINT PKWY
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City | ALPHARETTA
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State | GA
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Zip | 30022-1142
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Country | US
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Telephone | 678-439-7617
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Fax | 470-235-1836
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Provider Business Mailing Address
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Address Line | 2075 N BETHANY CREEK DR
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City | ALPHARETTA
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State | GA
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Zip | 30004-4392
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Country | US
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Telephone | 678-907-6717
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Fax | 470-235-1836
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 508255
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 010710
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License Number State | GA
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