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General NPI Number Information
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NPI Number | 1265165393
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Entity Type | Organization
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Legal Business Name | ELANA DUNN LPC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 4255 SMOKECREEK PKWY LOT 76A
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City | SNELLVILLE
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State | GA
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Zip | 30039-6792
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Country | US
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Telephone | 404-736-5564
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Fax |
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Provider Business Mailing Address
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Address Line | 4255 SMOKECREEK PKWY LOT 76A
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City | SNELLVILLE
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State | GA
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Zip | 30039-6792
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Country | US
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Telephone | 404-736-5564
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | ELANA AVRIELLE DUNN
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Credential | LPC
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Telephone | 404-736-5564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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