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General NPI Number Information
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NPI Number | 1346000551
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Entity Type | Individual
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Provider Name | ANGEL DENNISON LMSW
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Gender | Female
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 925 WOODSTOCK RD STE 150
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City | ROSWELL
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State | GA
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Zip | 30075-2208
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Country | US
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Telephone | 404-990-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 PLEASANT HILL RD APT 2526
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City | DULUTH
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State | GA
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Zip | 30096-4182
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Country | US
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Telephone | 470-509-0595
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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 | MSW009777
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License Number State | GA
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