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General NPI Number Information
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NPI Number | 1083007827
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Entity Type | Organization
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Legal Business Name | H. ELIZABETH KING, PHD, PC
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 2045 PEACHTREE RD NE SUITE 150
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City | ATLANTA
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State | GA
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Zip | 30309-1414
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Country | US
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Telephone | 404-352-4348
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Fax | 404-352-4334
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Provider Business Mailing Address
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Address Line | 2045 PEACHTREE RD NE SUITE 150
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City | ATLANTA
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State | GA
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Zip | 30309-1414
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Country | US
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Telephone | 404-352-4348
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Fax | 404-352-4334
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRIETTE ELIZABETH KING
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Credential | PH.D.
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Telephone | 404-352-4348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PSY0000356
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License Number State | GA
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