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General NPI Number Information
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NPI Number | 1235155870
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Entity Type | Individual
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Provider Name | GEORGE LOUCION SNEED SR. PHD,MAC,NCAC,CAC,CCS
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Gender | Male
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 FREEDOM WAY SATP/OPT CLININC
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City | AUGUSTA
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State | GA
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Zip | 30904-6258
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Country | US
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Telephone | 706-733-0188
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Fax | 706-731-7288
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Provider Business Mailing Address
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Address Line | 3609 ALENE CIR
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City | AUGUSTA
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State | GA
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Zip | 30906-4301
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Country | US
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Telephone | 706-733-0188
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Fax | 706-731-7288
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 500382
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License Number State | GA
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