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General NPI Number Information
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NPI Number | 1770345480
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Entity Type | Individual
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Provider Name | KATHRYN HUNTER SANDIFER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 1945 MASON MILL RD STE 100
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City | DECATUR
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State | GA
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Zip | 30033-4075
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Country | US
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Telephone | 404-386-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 2962 MAJESTIC CIR
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City | AVONDALE ESTATES
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State | GA
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Zip | 30002-1610
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Country | US
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Telephone | 404-386-4150
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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 | 2078
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License Number State | GA
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