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General NPI Number Information
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NPI Number | 1750689980
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Entity Type | Individual
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Provider Name | RICHSHAWNA C SIMS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/12/2011
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Last Update Date | 03/12/2011
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Provider Practice Location Address
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Address Line | 2470 WINDY HILL RD SE SUITE 300
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City | MARIETTA
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State | GA
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Zip | 30067-8613
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Country | US
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Telephone | 678-427-5346
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Fax |
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Provider Business Mailing Address
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Address Line | 3259 BARNWELL TRCE
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-5045
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Country | US
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Telephone | 678-427-5346
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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 | 004040
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License Number State | GA
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