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General NPI Number Information
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NPI Number | 1568057446
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Entity Type | Individual
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Provider Name | HELENE M TAULBEE AMFT
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Gender | Female
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 242 S COASTAL HWY
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City | MIDWAY
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State | GA
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Zip | 31320-5231
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Country | US
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Telephone | 912-884-4440
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Fax | 912-884-4441
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Provider Business Mailing Address
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Address Line | 2797 BLUES REACH RD SW
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City | TOWNSEND
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State | GA
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Zip | 31331-6416
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Country | US
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Telephone | 912-432-3765
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | AMFT000673
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License Number State | GA
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