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General NPI Number Information
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NPI Number | 1225671829
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Entity Type | Organization
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Legal Business Name | JULIE HOMRICH LLC
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Dates
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Enumeration Date | 10/26/2019
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Last Update Date | 10/26/2019
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Provider Practice Location Address
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Address Line | 1400 BUFORD HWY STE D1
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City | BUFORD
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State | GA
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Zip | 30518-8722
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Country | US
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Telephone | 770-540-3132
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 BUFORD HWY STE D1
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City | BUFORD
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State | GA
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Zip | 30518-8722
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Country | US
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Telephone | 770-540-3132
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JULIE HOMRICH
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Credential |
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Telephone | 706-346-2138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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