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NPI 1043360324

NPI 1043360324 : ELIZABETH ANN STRICKLER PH.D. : BLAIRSVILLE, GA

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General NPI Number Information
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    NPI Number           |    1043360324
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH ANN STRICKLER PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/11/2007
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    Last Update Date     |    11/20/2014
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Provider Practice Location Address
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    Address Line         |    566 MURPHY HWY SUITE 201
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    City                 |    BLAIRSVILLE
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    State                |    GA
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    Zip                  |    30512-3068
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    Country              |    US
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    Telephone            |    706-781-6035
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    Fax                  |    706-374-6451
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2761 
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    City                 |    BLAIRSVILLE
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    State                |    GA
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    Zip                  |    30514-2761
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    Country              |    US
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    Telephone            |    706-781-6035
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    Fax                  |    706-374-6451
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PSY001183
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    License Number State |    GA
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