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General NPI Number Information
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NPI Number | 1245880897
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Entity Type | Individual
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Provider Name | WILLIAM CHAD GARRETT PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 200 WISTERIA DR
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City | GAINESVILLE
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State | GA
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Zip | 30501-3827
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Country | US
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Telephone | 770-219-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 525 CLOVER DR
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City | BUFORD
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State | GA
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Zip | 30518-3211
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Country | US
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Telephone | 678-368-3399
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN239746
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License Number State | GA
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