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General NPI Number Information
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NPI Number | 1275447203
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Entity Type | Individual
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Provider Name | COLTON SHAFER RIPPEY
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Gender | Male
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 3939 ROSWELL RD STE 200
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City | MARIETTA
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State | GA
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Zip | 30062-6285
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Country | US
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Telephone | 470-956-3940
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 ROSWELL RD APT 16A2
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City | MARIETTA
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State | GA
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Zip | 30068-3003
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Country | US
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Telephone | 623-695-8327
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Fax |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State | NULL
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