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General NPI Number Information
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NPI Number | 1245682558
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Entity Type | Organization
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Legal Business Name | APRIL M SCHUETHS LLC
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 07/11/2016
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Provider Practice Location Address
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Address Line | 114 N COLLEGE ST
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City | STATESBORO
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State | GA
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Zip | 30458-5309
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Country | US
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Telephone | 912-266-8830
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Fax |
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Provider Business Mailing Address
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Address Line | 114 N COLLEGE ST
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City | STATESBORO
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State | GA
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Zip | 30458-5309
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Country | US
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Telephone | 912-266-8830
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Fax |
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH THERAPIST
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Name | APRIL MICHELLE SCHUETHS
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Credential | LCSW
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Telephone | 912-266-8830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CSW004332
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License Number State | GA
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