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General NPI Number Information
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NPI Number | 1245874973
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Entity Type | Individual
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Provider Name | EMILY GRACE GUYNN MFT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 5755 N POINT PKWY STE 65
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City | ALPHARETTA
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State | GA
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Zip | 30022-1146
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Country | US
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Telephone | 470-846-1941
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Fax |
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Provider Business Mailing Address
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Address Line | 4765 HOPEWELL MANOR DR
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City | CUMMING
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State | GA
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Zip | 30028-4070
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Country | US
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Telephone | 678-634-6231
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MFT001731
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License Number State | GA
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