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General NPI Number Information
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NPI Number | 1942791165
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Entity Type | Individual
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Provider Name | KRISTI ATKINS LPC006037
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Gender | Female
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 4331 THURMON TANNER RD
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City | FLOWERY BRANCH
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State | GA
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Zip | 30542-2829
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Country | US
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Telephone | 678-513-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 668 AUSTIN CREEK DR
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City | BUFORD
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State | GA
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Zip | 30518-7206
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Country | US
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Telephone | 404-702-5085
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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 | LPC006037
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License Number State | GA
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