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General NPI Number Information
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NPI Number | 1144790478
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Entity Type | Individual
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Provider Name | CATHY RENEE RAWLINGS LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 4435 ROCKY FORD RD
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City | VALDOSTA
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State | GA
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Zip | 31601-7849
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Country | US
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Telephone | 229-269-2870
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Fax |
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Provider Business Mailing Address
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Address Line | 4435 ROCKY FORD RD
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City | VALDOSTA
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State | GA
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Zip | 31601-7849
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Country | US
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Telephone | 229-269-2870
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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 | CSW7673
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | MSW008437
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License Number State | GA
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