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General NPI Number Information
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NPI Number | 1619493806
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Entity Type | Individual
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Provider Name | CAMILLE HANKINS MS, NCC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2545 LAWRENCEVILLE HWY STE 150
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City | DECATUR
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State | GA
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Zip | 30033-3240
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Country | US
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Telephone | 678-230-6053
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Fax |
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Provider Business Mailing Address
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Address Line | 1760 NORTHSIDE DR NW APT 345
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City | ATLANTA
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State | GA
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Zip | 30318-2670
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Country | US
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Telephone |
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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 |
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License Number State |
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