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General NPI Number Information
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NPI Number | 1669147229
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Entity Type | Individual
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Provider Name | DHARTI ATCHISON LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2021
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Last Update Date | 08/14/2021
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Provider Practice Location Address
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Address Line | 2320 WILLIAMS DR
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City | LARGO
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State | FL
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Zip | 33778-1242
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Country | US
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Telephone | 713-423-9870
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 WILLIAMS DR
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City | LARGO
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State | FL
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Zip | 33778-1242
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Country | US
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Telephone | 713-423-9870
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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 | SW17939
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License Number State | FL
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