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General NPI Number Information
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NPI Number | 1861675225
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Entity Type | Individual
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Provider Name | ROSITA B AIRALL LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 2140 MCGEE RD STE C140F
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City | SNELLVILLE
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State | GA
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Zip | 30078-2975
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Country | US
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Telephone | 678-887-4500
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Fax | 770-828-0693
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Provider Business Mailing Address
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Address Line | 4420 SIRROCCO LN SW
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City | LILBURN
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State | GA
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Zip | 30047-7434
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Country | US
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Telephone | 678-887-4500
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Fax | 770-828-0693
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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 | CSW001766
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License Number State | GA
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