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General NPI Number Information
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NPI Number | 1316138068
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Entity Type | Individual
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Provider Name | SHERI DIANE HARDIN MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 317 W HILL ST SUITE 101
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City | DECATUR
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State | GA
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Zip | 30030-4367
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Country | US
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Telephone | 404-424-8488
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Fax |
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Provider Business Mailing Address
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Address Line | 245 N HIGHLAND AVE NE SUITE 230-216
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City | ATLANTA
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State | GA
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Zip | 30307-1936
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Country | US
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Telephone | 404-424-8488
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW003071
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License Number State | GA
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