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General NPI Number Information
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NPI Number | 1790648632
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Entity Type | Organization
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Legal Business Name | PRACTICAL BEHAVIORAL CARE LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1201 W PEACHTREE ST NW STE 2300
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City | ATLANTA
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State | GA
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Zip | 30309-3453
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Country | US
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Telephone | 678-765-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 W PEACHTREE ST NW STE 2300
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City | ATLANTA
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State | GA
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Zip | 30309-3453
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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 | NURSE PRACTITIONER
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Name | NYCOLE ASHLEY COX
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Credential | NP-C
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Telephone | 330-998-8033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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