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General NPI Number Information
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NPI Number | 1528291895
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Entity Type | Individual
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Provider Name | CHRISTINA B POLLARD LPC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 3590 COVINGTON HWY
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City | DECATUR
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State | GA
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Zip | 30032-1850
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Country | US
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Telephone | 404-687-9188
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Fax | 404-687-9189
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Provider Business Mailing Address
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Address Line | PO BOX 184
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City | AVONDALE ESTATES
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State | GA
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Zip | 30002-0184
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Country | US
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Telephone | 678-793-9151
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Fax | 770-879-9409
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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 | LPC003754
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License Number State | GA
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