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General NPI Number Information
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NPI Number | 1629752084
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Entity Type | Individual
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Provider Name | JULIA NAILOR LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 327 DAHLONEGA ST STE A202
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City | CUMMING
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State | GA
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Zip | 30040-2484
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Country | US
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Telephone | 678-965-6021
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Fax | 678-962-7121
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Provider Business Mailing Address
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Address Line | 103 FAIRWAY OVERLOOK
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City | WOODSTOCK
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State | GA
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Zip | 30188-3519
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Country | US
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Telephone | 678-699-9326
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MSW009507
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License Number State | GA
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