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General NPI Number Information
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NPI Number | 1174412340
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Entity Type | Individual
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Provider Name | MILLICENT SERWAH TAGOE
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | VIEW POINT HEALTH CRISIS STABILIZATION UNIT 175 GWINNETT DRIVE
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-8444
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Country | US
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Telephone | 678-209-2432
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Fax |
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Provider Business Mailing Address
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Address Line | 1013 CHAPEL STATION DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-7948
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Country | US
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Telephone | 470-393-5354
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN323175
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN323175
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License Number State | GA
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