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General NPI Number Information
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NPI Number | 1154593317
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Entity Type | Organization
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Legal Business Name | ALLEN C. CARTER, PH.D, P.C.
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 600 W PEACHTREE ST NW SUITE 1570
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City | ATLANTA
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State | GA
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Zip | 30308-3607
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Country | US
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Telephone | 404-874-9207
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Fax | 404-876-4262
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Provider Business Mailing Address
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Address Line | 600 WEST PEACHTREE ST NW SUITE 1570
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City | ATLANTA
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State | GA
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Zip | 30308-3607
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Country | US
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Telephone | 404-874-9207
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Fax | 404-876-4262
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLEN CONNARD CARTER
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Credential | PH.D
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Telephone | 404-874-9207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 00671
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 00671
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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