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General NPI Number Information
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NPI Number | 1407277668
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Entity Type | Individual
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Provider Name | CHRISTOPHER DAVID FARMER MS, LPC, MAC, CPCS
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Gender | Male
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 201 COVE RD
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City | JASPER
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State | GA
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Zip | 30143-1356
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Country | US
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Telephone | 706-633-9269
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Fax |
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Provider Business Mailing Address
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Address Line | 201 COVE RD
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City | JASPER
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State | GA
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Zip | 30143-1356
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Country | US
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Telephone | 706-633-9269
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC009028
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC004043
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 009028
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License Number State | GA
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