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General NPI Number Information
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NPI Number | 1194688382
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Entity Type | Individual
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Provider Name | REBECCA LYNN KIRKLAND LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 600 W PEACHTREE ST NW STE 44
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City | ATLANTA
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State | GA
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Zip | 30308-3607
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Country | US
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Telephone | 888-500-2067
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Fax | 617-649-8520
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Provider Business Mailing Address
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Address Line | 2170 N LAKE DR APT 1338
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City | COLUMBIA
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State | SC
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Zip | 29212-8120
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Country | US
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Telephone | 888-500-2067
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Fax | 617-649-8520
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17133
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License Number State | SC
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