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General NPI Number Information
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NPI Number | 1295306231
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Entity Type | Individual
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Provider Name | CAITLIN HURLEY
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Gender | Female
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 1878 WESTON LN
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City | TUCKER
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State | GA
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Zip | 30084-5500
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Country | US
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Telephone | 404-860-0840
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Fax |
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Provider Business Mailing Address
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Address Line | 1427 E 48TH ST
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City | SAVANNAH
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State | GA
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Zip | 31404-4007
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Country | US
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Telephone | 414-336-5661
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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