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General NPI Number Information
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NPI Number | 1700694684
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Entity Type | Individual
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Provider Name | LAUREN PARKER
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Gender | Female
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 321 W HILL ST STE 9
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City | DECATUR
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State | GA
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Zip | 30030-4362
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Country | US
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Telephone | 678-400-9477
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Fax |
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Provider Business Mailing Address
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Address Line | 6250 RIVER VIEW RD SE APT 3403
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City | SMYRNA
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State | GA
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Zip | 30126-2999
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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 |
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License Number State |
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