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General NPI Number Information
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NPI Number | 1962646554
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Entity Type | Individual
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Provider Name | KAREN ROSE NASH L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 54 SOUTH AVE SE
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City | MARIETTA
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State | GA
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Zip | 30060-2358
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Country | US
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Telephone | 770-906-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 992 POTOMAC DR
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City | DALLAS
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State | GA
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Zip | 30132-6643
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Country | US
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Telephone | 770-906-2028
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW000365
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License Number State | GA
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