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General NPI Number Information
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NPI Number | 1235785817
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Entity Type | Organization
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Legal Business Name | REWRITTEN COUNSELING
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Dates
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Enumeration Date | 08/10/2019
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Last Update Date | 08/17/2019
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Provider Practice Location Address
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Address Line | 14 SAINT ANDREWS CT
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City | BRUNSWICK
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State | GA
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Zip | 31520-6777
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Country | US
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Telephone | 912-571-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 121 SHERWOOD FOREST CIR
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City | BRUNSWICK
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State | GA
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Zip | 31525-9226
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Country | US
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Telephone | 912-571-5640
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MARY BARNES
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Credential | LPC
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Telephone | 912-571-5640
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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 |
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License Number State |
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