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General NPI Number Information
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NPI Number | 1073477337
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Entity Type | Individual
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Provider Name | EMILY PATTERSON
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 3581 HABERSHAM AT NORTHLAKE BLDG M
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City | TUCKER
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State | GA
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Zip | 30084-4001
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Country | US
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Telephone | 470-569-5942
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Fax | 470-569-5945
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Provider Business Mailing Address
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Address Line | 1642 POWERS FERRY RD SE STE 100
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City | MARIETTA
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State | GA
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Zip | 30067-9489
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Country | US
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Telephone | 770-565-3045
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Fax | 770-565-3046
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | GA
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