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NPI 1639948193

NPI 1639948193 : DAWN MARIE WARREN PEEL LPC : EVANS, GA

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General NPI Number Information
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    NPI Number           |    1639948193
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    Entity Type          |    Individual 
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    Provider Name        |    DAWN MARIE WARREN PEEL LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/26/2023
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    Last Update Date     |    12/26/2023
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Provider Practice Location Address
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    Address Line         |    4736 WALTONS CIR 
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    City                 |    EVANS
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    State                |    GA
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    Zip                  |    30809-5262
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    Country              |    US
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    Telephone            |    706-231-0926
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4736 WALTONS CIR 
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    City                 |    EVANS
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    State                |    GA
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    Zip                  |    30809-5262
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    Country              |    US
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    Telephone            |    706-231-0926
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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       |    LPC005503
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    License Number State |    GA
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