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General NPI Number Information
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NPI Number | 1205370475
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Entity Type | Organization
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Legal Business Name | OVAR PSYCHOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 2140 MCGEE RD STE 660
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City | SNELLVILLE
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State | GA
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Zip | 30078-2980
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Country | US
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Telephone | 770-676-9914
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 435
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City | REDAN
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State | GA
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Zip | 30074-0435
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Country | US
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Telephone | 347-661-5202
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ARLENE BARROW
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Credential | PHD
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Telephone | 347-661-5202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY003779
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License Number State | GA
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