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General NPI Number Information
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NPI Number | 1558636100
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Entity Type | Individual
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Provider Name | CHASITY J CARSWELL DNP, FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 485 S PERRY ST STE A-9
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4923
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Country | US
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Telephone | 678-226-1475
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Fax | 678-404-8099
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Provider Business Mailing Address
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Address Line | 485 S PERRY ST STE A-9
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4923
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Country | US
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Telephone | 678-226-1475
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Fax | 678-404-8909
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN175133
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN173155
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License Number State | GA
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