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General NPI Number Information
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NPI Number | 1700135571
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Entity Type | Individual
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Provider Name | VALARIE TUTUH
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Gender | Female
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 1270 CAROLINE ST NE STE D120-243
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City | ATLANTA
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State | GA
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Zip | 30307-2758
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Country | US
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Telephone | 404-954-0553
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 CAROLINE ST NE STE D120-243
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City | ATLANTA
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State | GA
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Zip | 30307-2758
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC003470
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License Number State | GA
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