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General NPI Number Information
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NPI Number | 1467587295
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Entity Type | Individual
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Provider Name | ERIC CROH LPC
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 2801 BUFORD HWY NE SUITE 550-B
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City | ATLANTA
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State | GA
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Zip | 30329-2149
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Country | US
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Telephone | 404-985-6785
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Fax | 404-963-0522
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Provider Business Mailing Address
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Address Line | PO BOX 451
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City | STONE MOUNTAIN
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State | GA
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Zip | 30086-0451
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Country | US
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Telephone | 404-985-6785
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Fax | 404-963-0522
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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