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General NPI Number Information
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NPI Number | 1093766719
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Entity Type | Organization
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Legal Business Name | INNERACTION PSYCHOLOGICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 81 CROWN MOUNTAIN PL SUITE C200
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City | DAHLONEGA
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State | GA
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Zip | 30533-1627
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Country | US
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Telephone | 706-864-0186
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Fax | 706-864-0963
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | DAHLONEGA
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State | GA
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Zip | 30533-0009
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Country | US
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Telephone | 706-864-0186
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Fax | 706-864-0963
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERESSA F. HAEGER
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Credential | PH.D.
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Telephone | 706-864-0186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY000773
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License Number State | GA
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