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General NPI Number Information
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NPI Number | 1235055963
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Entity Type | Individual
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Provider Name | MALISHA MISHOE
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Gender | Female
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1216 DAWSON RD STE 105
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City | ALBANY
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State | GA
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Zip | 31707-3867
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Country | US
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Telephone | 706-940-2138
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Fax |
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Provider Business Mailing Address
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Address Line | 2447 BASSFORD LN
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City | ALBANY
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State | GA
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Zip | 31707-6689
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | APC011178
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License Number State | GA
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