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General NPI Number Information
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NPI Number | 1376550525
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Entity Type | Individual
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Provider Name | GREGORY L MC COLLOUGH LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 115 MARTIN LUTHER KING JR DR SW SUITE 277
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City | ATLANTA
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State | GA
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Zip | 30303-3536
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Country | US
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Telephone | 404-730-0230
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Fax | 404-730-0341
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Provider Business Mailing Address
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Address Line | 1434 MILL ACRES DR SW
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City | ATLANTA
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State | GA
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Zip | 30311-3216
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Country | US
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Telephone | 404-730-0230
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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 | CSW001591
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License Number State | GA
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