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General NPI Number Information
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NPI Number | 1831413426
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Entity Type | Organization
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Legal Business Name | JOE GARMON
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 200 GORDON AVE
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City | THOMASVILLE
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State | GA
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Zip | 31792-6640
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Country | US
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Telephone | 229-226-0741
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Fax | 229-227-9360
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Provider Business Mailing Address
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Address Line | 200 GORDON AVE
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City | THOMASVILLE
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State | GA
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Zip | 31792-6640
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Country | US
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Telephone | 229-226-0741
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Fax | 229-227-9360
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH M GARMON
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Credential | PH.D.
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Telephone | 229-226-0741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW002353
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY002910
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License Number State | GA
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