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General NPI Number Information
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NPI Number | 1164957510
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Entity Type | Organization
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Legal Business Name | SLAUGHTER PSYCHOLOGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 502 CREST RIDGE DR
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City | ATLANTA
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State | GA
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Zip | 30344-5759
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Country | US
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Telephone | 615-554-1759
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Fax |
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Provider Business Mailing Address
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Address Line | 502 CREST RIDGE DR
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City | ATLANTA
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State | GA
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Zip | 30344-5759
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Country | US
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Telephone | 615-554-1759
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. CHRISTOPHER R SLAUGHTER
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Credential | PH.D.
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Telephone | 615-554-1759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY003775
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License Number State | GA
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