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General NPI Number Information
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NPI Number | 1376083675
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Entity Type | Individual
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Provider Name | KARINA T BAILEY
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Gender | Female
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 625 S MARIETTA PKWY SE
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City | MARIETTA
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State | GA
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Zip | 30060-2748
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Country | US
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Telephone | 470-377-7228
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Fax | 470-467-7583
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Provider Business Mailing Address
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Address Line | 2500 DALLAS HWY SW # 202-1511
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City | MARIETTA
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State | GA
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Zip | 30064-2567
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Country | US
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Telephone | 610-675-3733
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Fax | 267-433-3994
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC014073
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License Number State | GA
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