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General NPI Number Information
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NPI Number | 1205426160
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Entity Type | Organization
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Legal Business Name | NORTH ATLANTA PSYCHOTHERAPY, INC.
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 01/24/2021
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Provider Practice Location Address
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Address Line | 4360 CHAMBLEE DUNWOODY RD STE 515
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City | ATLANTA
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State | GA
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Zip | 30341-1076
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Country | US
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Telephone | 770-776-9690
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Fax |
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Provider Business Mailing Address
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Address Line | 4732 DUNOVER CIR
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City | DUNWOODY
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State | GA
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Zip | 30360-1934
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MATTHEW QUICK
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Credential |
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Telephone | 770-776-9690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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