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General NPI Number Information
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NPI Number | 1336819341
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Entity Type | Individual
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Provider Name | WERONIKA MISIUREWICZ LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 199 ARMOUR DR NE STE E
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City | ATLANTA
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State | GA
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Zip | 30324-3975
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Country | US
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Telephone | 404-685-1600
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Fax | 678-666-1149
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Provider Business Mailing Address
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Address Line | 140 SPRINGDALE ST APT 14
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City | ATHENS
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State | GA
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Zip | 30605-5803
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Country | US
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Telephone | 167-884-8910
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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 | MSW010218
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License Number State | GA
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