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General NPI Number Information
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NPI Number | 1689460230
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Entity Type | Individual
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Provider Name | GENE MARIE SHREMSHOCK
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Gender | Female
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 304 FRANKLIN SQ
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City | BONAIRE
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State | GA
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Zip | 31005-3256
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Country | US
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Telephone | 478-449-1475
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Fax | 877-712-4794
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Provider Business Mailing Address
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Address Line | 201 CLUB VILLA COURT GENEMARIESHREMSHOCK@GMAIL.COM
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City | KATHLEEN
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State | GA
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Zip | 31014-3101
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Country | US
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Telephone | 478-449-1475
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Fax | 877-712-4794
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW011980
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License Number State | GA
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