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General NPI Number Information
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NPI Number | 1639615107
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Entity Type | Organization
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Legal Business Name | ALLISON CAREY LLC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 1037 PANORAMIC POINTE
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City | BUFORD
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State | GA
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Zip | 30518-8496
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Country | US
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Telephone | 678-617-7708
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Fax |
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Provider Business Mailing Address
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Address Line | 12705 CENTURY DR SUITE D
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City | ALPHARETTA
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State | GA
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Zip | 30009-8365
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Country | US
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Telephone | 678-852-4224
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Fax |
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Authorized Official
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Title or Position | LICENSED COUNSELOR
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Name | ALLISON CAREY
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Credential | MS LAPC
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Telephone | 678-852-4224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC005739
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License Number State | GA
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