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General NPI Number Information
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NPI Number | 1922752146
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Entity Type | Organization
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Legal Business Name | DNM HEALTH SERVICES
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1505 PENNSYLVANIA AVE
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City | MCDONOUGH
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State | GA
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Zip | 30253-9114
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Country | US
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Telephone | 678-752-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 PENNSYLVANIA AVE
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City | MCDONOUGH
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State | GA
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Zip | 30253-9114
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Country | US
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Telephone | 470-410-7738
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | VICTORIA Y MILLER
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Credential | LPC
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Telephone | 470-702-2278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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