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General NPI Number Information
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NPI Number | 1336935790
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Entity Type | Organization
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Legal Business Name | NGU COUNSELING ORG PLLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 5424 BELL FORGE LN E # 903
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City | ANTIOCH
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State | TN
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Zip | 37013-8300
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Country | US
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Telephone | 615-732-8206
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 903
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City | ANTIOCH
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State | TN
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Zip | 37011-0903
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Country | US
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Telephone | 615-732-8206
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Fax | 615-732-8206
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSEMARY PALMER
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Credential |
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Telephone | 615-732-8206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation 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 | 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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