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General NPI Number Information
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NPI Number | 1982721700
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Entity Type | Individual
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Provider Name | MAURIE CHRISTINA FREED LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 1295 E. ROCK SPRINGS RD NE APT 119
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City | ATLANTA
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State | GA
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Zip | 30306-2337
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Country | US
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Telephone | 404-323-9855
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Fax | 404-325-7479
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Provider Business Mailing Address
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Address Line | 1295 E. ROCK SPRINGS RD. NE APT 119
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City | ATLANTA
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State | GA
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Zip | 30306
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Country | US
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Telephone | 404-323-9855
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Fax | 404-325-7479
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 537
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License Number State | GA
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