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General NPI Number Information
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NPI Number | 1285196683
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Entity Type | Individual
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Provider Name | JULIE HOMRICH LPC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 1400 BUFORD HWY STE D1
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City | BUFORD
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State | GA
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Zip | 30518-8722
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Country | US
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Telephone | 470-499-0423
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Fax |
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Provider Business Mailing Address
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Address Line | 430 PRINGLE DR
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City | SUWANEE
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State | GA
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Zip | 30024-8770
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Country | US
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Telephone | 706-346-2138
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 009172
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License Number State | GA
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