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General NPI Number Information
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NPI Number | 1447870167
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Entity Type | Individual
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Provider Name | NATASHA M PATTERSON LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 1017 QUIET WATERS LN
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-7069
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Country | US
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Telephone | 678-477-8672
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-9998
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC010158
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 681550
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License Number State | GA
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