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General NPI Number Information
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NPI Number | 1720790280
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Entity Type | Individual
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Provider Name | JULIANNE ARNOLD
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Gender | Female
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 3925 HARRISON RD STE 100
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City | LOGANVILLE
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State | GA
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Zip | 30052-5898
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Country | US
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Telephone | 770-676-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 SECRET COVE DR
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City | SUGAR HILL
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State | GA
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Zip | 30518-5300
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Country | US
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Telephone | 404-983-5017
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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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