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General NPI Number Information
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NPI Number | 1831453489
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Entity Type | Individual
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Provider Name | AMANDA KNAPP MELKOWITS MS, PC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 6916 MCGINNIS FERRY RD SUITE 100
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City | SUWANEE
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State | GA
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Zip | 30024-1258
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Country | US
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Telephone | 770-670-7248
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Fax | 678-680-5147
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Provider Business Mailing Address
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Address Line | 107 RIVERVIEW DR SE
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City | MARIETTA
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State | GA
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Zip | 30067-4836
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Country | US
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Telephone | 706-424-4190
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Fax | 678-680-5147
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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 | LPC007763
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License Number State | GA
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