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General NPI Number Information
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NPI Number | 1578167813
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Entity Type | Organization
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Legal Business Name | OLAND COUNSELING SERVICES
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Dates
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Enumeration Date | 11/27/2020
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Last Update Date | 11/27/2020
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Provider Practice Location Address
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Address Line | 11285 ELKINS RD STE F1B
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City | ROSWELL
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State | GA
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Zip | 30076-5837
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Country | US
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Telephone | 678-206-8819
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Fax | 404-738-1637
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Provider Business Mailing Address
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Address Line | 11285 ELKINS RD STE F1B
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City | ROSWELL
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State | GA
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Zip | 30076-5837
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Country | US
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Telephone | 678-206-8819
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Fax | 404-738-1637
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JOSEFINA BATES
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Credential | LCSW
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Telephone | 678-808-9244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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