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General NPI Number Information
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NPI Number | 1134925514
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Entity Type | Individual
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Provider Name | BIANCA L ARNOLD LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1255 HIGHWAY 54 W
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4526
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Country | US
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Telephone | 770-719-6827
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Fax |
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Provider Business Mailing Address
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Address Line | 122 NEWNAN LAKES DR
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City | NEWNAN
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State | GA
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Zip | 30263-6456
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Country | US
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Telephone | 678-850-1661
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW009104
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License Number State | GA
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