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General NPI Number Information
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NPI Number | 1407508369
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Entity Type | Organization
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Legal Business Name | NEW BIRTH COUNSELING, LLLP
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 2964 VINSON CT
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City | BUFORD
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State | GA
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Zip | 30518-3505
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Country | US
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Telephone | 678-687-1495
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Fax |
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Provider Business Mailing Address
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Address Line | 2964 VINSON CT
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City | BUFORD
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State | GA
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Zip | 30518-3505
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Country | US
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Telephone | 678-687-1495
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | TANYA THOMAS
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Credential | APC
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Telephone | 678-935-6127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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