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General NPI Number Information
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NPI Number | 1194991331
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Entity Type | Organization
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Legal Business Name | NORTH POINT PSYCHOLOGY LLC
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 3534 OLD MILTON PKWY
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City | ALPHARETTA
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State | GA
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Zip | 30005-4459
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Country | US
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Telephone | 678-624-0310
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Fax | 678-624-0258
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Provider Business Mailing Address
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Address Line | 3534 OLD MILTON PARKWAY
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City | ALPHARETTA
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State | GA
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Zip | 30005
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Country | US
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Telephone | 678-624-0310
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Fax | 678-624-0258
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Authorized Official
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Title or Position | OWNER CLINICAL PSYCHOLOGIST
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Name | DR. WILLIAM L. BUCHANAN
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Credential | PH D
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Telephone | 678-624-0310
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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 | PSY001251
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License Number State | GA
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