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General NPI Number Information
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NPI Number | 1093955825
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Entity Type | Organization
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Legal Business Name | AURIGA PSYCHOTHERAPY AND COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 70 W WIEUCA RD NE
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City | ATLANTA
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State | GA
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Zip | 30342-3218
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Country | US
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Telephone | 404-256-4881
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Fax | 404-256-2554
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Provider Business Mailing Address
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Address Line | 70 W WIEUCA RD NE
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City | ATLANTA
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State | GA
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Zip | 30342-3218
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Country | US
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Telephone | 404-256-4881
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Fax | 404-256-2554
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. SYLVIA P. THORNE
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Credential | PHD
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Telephone | 404-256-4881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 585
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License Number State | GA
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