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General NPI Number Information
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NPI Number | 1184820649
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Entity Type | Individual
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Provider Name | DONNA T. GINN D MIN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 112 SCOTT AVE
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City | DARIEN
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State | GA
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Zip | 31305-9733
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Country | US
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Telephone | 912-437-2083
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Fax | 912-437-3375
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Provider Business Mailing Address
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Address Line | RR 1 BOX 1932
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City | TOWNSEND
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State | GA
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Zip | 31331-9784
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Country | US
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Telephone | 912-437-2083
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Fax | 912-437-3375
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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 | 02063556
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License Number State | GA
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