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General NPI Number Information
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NPI Number | 1831895929
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Entity Type | Organization
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Legal Business Name | BEGINNING ANEW COUNSELING & CONSULTING
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 4229 1ST AVE STE A1
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City | TUCKER
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State | GA
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Zip | 30084-4469
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Country | US
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Telephone | 470-241-2564
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Fax |
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Provider Business Mailing Address
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Address Line | 7084 ROSELAKE CIR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-1680
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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 | CREDENTIALER
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Name | ERICA PORTER
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Credential |
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Telephone | 443-255-3135
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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 |
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License Number State |
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