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General NPI Number Information
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NPI Number | 1205874344
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Entity Type | Individual
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Provider Name | STAN J. SIKORSKI LPC
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2265 ROSWELL RD SUITE 100
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City | MARIETTA
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State | GA
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Zip | 30062-2974
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Country | US
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Telephone | 404-293-9497
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Fax | 770-642-6310
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Provider Business Mailing Address
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Address Line | 4142 BELLFLOWER CT NE
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City | ROSWELL
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State | GA
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Zip | 30075-2674
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Country | US
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Telephone | 770-642-8018
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Fax | 770-642-6310
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1226
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License Number State | GA
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