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General NPI Number Information
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NPI Number | 1538146543
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Entity Type | Individual
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Provider Name | DENISE N SMITH MS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2121A BELLEVUE RD
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City | DUBLIN
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State | GA
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Zip | 31021-2998
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Country | US
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Telephone | 478-272-1190
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Fax | 478-272-6509
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Provider Business Mailing Address
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Address Line | 2121 BELLEVUE RD BUILDING 4
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City | DUBLIN
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State | GA
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Zip | 31021-2952
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Country | US
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Telephone | 478-287-6850
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Fax | 478-274-7671
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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 | 001206
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License Number State | GA
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