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General NPI Number Information
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NPI Number | 1831853787
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Entity Type | Individual
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Provider Name | BRIANA NICHELLE DOBBS LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 4720 WOODMERE BLVD
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City | MONTGOMERY
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State | AL
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Zip | 36106-3065
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Country | US
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Telephone | 334-676-6773
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Fax | 334-470-9721
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Provider Business Mailing Address
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Address Line | 207 ATLANTA ST
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City | VILLA RICA
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State | GA
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Zip | 30180-2739
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Country | US
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Telephone | 404-964-1874
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 5324G
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License Number State | AL
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