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General NPI Number Information
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NPI Number | 1164042941
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Entity Type | Individual
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Provider Name | RANDOLPH JAMES SCHWEINBERG II
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Gender | Male
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1239 ORCHARD HILL RD
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2549
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Country | US
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Telephone | 478-445-4721
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Fax |
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Provider Business Mailing Address
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Address Line | 205 N ROCK ISLAND DR
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City | EATONTON
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State | GA
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Zip | 31024-5219
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Country | US
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Telephone | 321-759-0723
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4878
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC012462
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4878
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License Number State | LA
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