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General NPI Number Information
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NPI Number | 1891861191
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Entity Type | Individual
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Provider Name | BENITA D. HARDEN LPC
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 2 RAVINIA DR SUITE 500
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City | ATLANTA
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State | GA
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Zip | 30346-2104
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Country | US
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Telephone | 770-417-2779
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Fax | 435-417-2775
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Provider Business Mailing Address
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Address Line | PO BOX 33023
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City | DECATUR
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State | GA
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Zip | 30033-0023
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Country | US
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Telephone | 404-786-1613
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC002966
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License Number State | GA
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