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General NPI Number Information
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NPI Number | 1558176701
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Entity Type | Individual
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Provider Name | MRS. EMILY CHIN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 309 PIRKLE FERRY RD
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City | CUMMING
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State | GA
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Zip | 30040-2545
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Country | US
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Telephone | 615-538-8218
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 LEXINGTON LN
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City | CUMMING
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State | GA
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Zip | 30040-6493
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Country | US
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Telephone | 256-617-8244
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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 | APC010124
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License Number State | GA
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