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General NPI Number Information
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NPI Number | 1427966936
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Entity Type | Individual
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Provider Name | CHARMAINE JOSEY HOLLIDAY
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 1135 GREGG HWY NW
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City | AIKEN
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State | SC
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Zip | 29801-6341
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Country | US
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Telephone | 803-508-7845
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Fax |
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Provider Business Mailing Address
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Address Line | 906 CALUMET CT
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City | GROVETOWN
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State | GA
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Zip | 30813-3814
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Country | US
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Telephone |
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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 | 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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