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General NPI Number Information
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NPI Number | 1881761674
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Entity Type | Individual
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Provider Name | JULIE D THOMAS
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 233 DAVIS RD SUITE G
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City | AUGUSTA
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State | GA
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Zip | 30907-2499
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Country | US
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Telephone | 706-726-4711
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Fax | 877-371-1465
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Provider Business Mailing Address
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Address Line | 2421 CENTRAL AVE APT A
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City | AUGUSTA
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State | GA
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Zip | 30904-6249
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Country | US
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Telephone | 706-726-0365
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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