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General NPI Number Information
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NPI Number | 1912537218
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Entity Type | Individual
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Provider Name | EMILY ROSE PRESLEY-PITTS MS IN CMHC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2020
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 42 NORTH AVE STE 100
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City | CLEVELAND
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State | GA
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Zip | 30528-1398
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Country | US
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Telephone | 706-348-8674
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Fax | 706-348-8676
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Provider Business Mailing Address
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Address Line | 66 BEAVER CREEK WAY
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City | CLEVELAND
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State | GA
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Zip | 30528-5693
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Country | US
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Telephone | 678-630-5117
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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 | LPC011034
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License Number State | GA
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