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General NPI Number Information
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NPI Number | 1255735106
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Entity Type | Individual
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Provider Name | SARAH DAVIS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 3155 MILL ST NE
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City | COVINGTON
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State | GA
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Zip | 30014-2542
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Country | US
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Telephone | 678-712-6520
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Fax | 678-712-6521
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Provider Business Mailing Address
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Address Line | 3155 MILL ST NE
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City | COVINGTON
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State | GA
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Zip | 30014-2542
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Country | US
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Telephone | 678-712-6520
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Fax | 678-712-6521
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PSY003850
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY003850
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License Number State | GA
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