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General NPI Number Information
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NPI Number | 1700792447
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Entity Type | Individual
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Provider Name | ANNIKA SIDDALL
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Gender | Female
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 1601 ABERCORN ST
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City | SAVANNAH
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State | GA
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Zip | 31401-7521
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Country | US
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Telephone | 912-712-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 101 CAY PLAZA 430
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City | SAVANNAH
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State | GA
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Zip | 31421
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Country | US
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Telephone | 316-347-6886
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC010939
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License Number State | GA
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