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General NPI Number Information
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NPI Number | 1558376806
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Entity Type | Individual
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Provider Name | MARTY BRIGGS LPC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 190 CURTIS PKWY NE
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City | CALHOUN
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State | GA
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Zip | 30701-2062
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Country | US
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Telephone | 706-602-4484
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Fax |
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Provider Business Mailing Address
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Address Line | 560 HARBOR LN NW
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City | SUGAR VALLEY
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State | GA
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Zip | 30746-5004
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Country | US
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Telephone | 706-629-0373
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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 | LPC002908
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License Number State | GA
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