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General NPI Number Information
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NPI Number | 1972008340
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Entity Type | Organization
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Legal Business Name | PREFERRED PRACTICE THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1000 CORPORATE POINTE STE 115
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City | WARNER ROBINS
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State | GA
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Zip | 31088-3430
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Country | US
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Telephone | 478-751-8004
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Fax |
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Provider Business Mailing Address
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Address Line | 207 BELAIRE DR
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City | WARNER ROBINS
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State | GA
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Zip | 31088-3863
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Country | US
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Telephone | 334-606-3662
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | CYNTHIA M ROZIER
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Credential | LCSW
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Telephone | 334-606-3662
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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 | CSW005652
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License Number State | GA
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