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NPI 1164594552

NPI 1164594552 : TIM SCHNABEL M.ED. : SNELLVILLE, GA

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General NPI Number Information
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    NPI Number           |    1164594552
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    Entity Type          |    Individual 
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    Provider Name        |    TIM SCHNABEL M.ED.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    2140 MCGEE RD 
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    City                 |    SNELLVILLE
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    State                |    GA
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    Zip                  |    30078-2980
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    Country              |    US
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    Telephone            |    770-207-4888
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    Fax                  |    770-207-4888
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Provider Business Mailing Address
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    Address Line         |    744 CHIMNEY TRACE 
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    City                 |    MONROE
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    State                |    GA
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    Zip                  |    30656
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    Country              |    US
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    Telephone            |    770-207-4888
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    Fax                  |    770-207-4888
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    GA# 0238
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    License Number State |    GA
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