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General NPI Number Information
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NPI Number | 1992414395
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Entity Type | Individual
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Provider Name | TREVOR GRANT STRICKLAND APC
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Gender | Male
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 550 PHARR RD NE STE 605
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City | ATLANTA
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State | GA
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Zip | 30305-3469
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Country | US
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Telephone | 404-235-5982
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Fax |
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Provider Business Mailing Address
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Address Line | 4448 HENDERSON DR
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City | TUCKER
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State | GA
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Zip | 30084-7033
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Country | US
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Telephone | 706-528-7213
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | APC008794
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License Number State | GA
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