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General NPI Number Information
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NPI Number | 1073615548
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Entity Type | Individual
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Provider Name | PAULA BRYMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 300 W WIEUCA RD NE BLDG. 2, STE 200
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City | ATLANTA
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State | GA
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Zip | 30342-3352
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Country | US
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Telephone | 404-255-7929
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Fax | 404-303-0661
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Provider Business Mailing Address
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Address Line | 4368 DUNMORE RD NE
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City | MARIETTA
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State | GA
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Zip | 30068-4221
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Country | US
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Telephone | 678-560-0281
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Fax | 404-303-0661
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW001719
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License Number State | GA
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