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General NPI Number Information
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NPI Number | 1447682083
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Entity Type | Individual
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Provider Name | MISS BRITTANY LYNN LOWERY
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Gender | Female
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 250 BRAY STREET
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City | ATHENS
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State | GA
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Zip | 30601
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Country | US
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Telephone | 706-612-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 203 CLAUDE DREYER LN
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City | GREENSBORO
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State | GA
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Zip | 30642-1515
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Country | US
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Telephone | 706-816-4057
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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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC010157
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License Number State | GA
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