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General NPI Number Information
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NPI Number | 1538302427
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Entity Type | Individual
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Provider Name | PAMELYN EVETTE HARRIS LAPC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 04/08/2009
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Provider Practice Location Address
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Address Line | 853 BATTLECREEK RD
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City | JONESBORO
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State | GA
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Zip | 30236-1919
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Country | US
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Telephone | 770-478-1099
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Fax | 770-478-8722
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Provider Business Mailing Address
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Address Line | 162 KYNDAL DR
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City | HAMPTON
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State | GA
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Zip | 30228-4862
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Country | US
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Telephone | 770-897-2580
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Fax | 770-897-2580
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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 |
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License Number State |
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