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General NPI Number Information
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NPI Number | 1841644002
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Entity Type | Individual
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Provider Name | JAMIE SPURLEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 4751 BEST RD SUITE 400S
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City | COLLEGE PARK
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State | GA
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Zip | 30337-5615
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Country | US
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Telephone | 678-516-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 3819 WOOD HOLLOW WAY
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City | SNELLVILLE
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State | GA
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Zip | 30039-6080
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Country | US
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Telephone | 678-516-4555
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW004832
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License Number State | GA
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