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General NPI Number Information
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NPI Number | 1417406083
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Entity Type | Individual
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Provider Name | STEPHANIE BILLINGSLEY HEATH LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 03/25/2017
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Provider Practice Location Address
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Address Line | 584 ARLINGTON PL
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City | MACON
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State | GA
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Zip | 31201-1705
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Country | US
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Telephone | 478-731-9516
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Fax | 877-863-5638
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Provider Business Mailing Address
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Address Line | PO BOX 13395
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City | MACON
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State | GA
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Zip | 31208-3395
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Country | US
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Telephone | 478-731-9516
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Fax | 877-863-5638
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT000936
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License Number State | GA
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