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General NPI Number Information
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NPI Number | 1154358208
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Entity Type | Individual
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Provider Name | DEBORAH A REED RN-CNS/PMH
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Gender | Female
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 WOLVERTON CT
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-2514
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Country | US
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Telephone | 770-778-1349
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Fax | 678-348-7291
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Provider Business Mailing Address
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Address Line | PO BOX 1576
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City | TUCKER
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State | GA
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Zip | 30085-1576
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Country | US
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Telephone | 770-778-1349
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Fax | 678-348-7291
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 102945
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License Number State | GA
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