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General NPI Number Information
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NPI Number | 1255571519
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Entity Type | Individual
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Provider Name | GEORGIA ELLEN NELSON-HARRIS BSW, MA SCHOOL COUNS
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Gender | Female
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 4150 ALEXANDRIA PIKE STE 108
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City | COLD SPRING
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State | KY
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Zip | 41076-3500
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Country | US
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Telephone | 859-572-0430
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Fax |
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Provider Business Mailing Address
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Address Line | 114 DELTA AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-2334
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Country | US
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Telephone | 859-663-6393
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | KY
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