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General NPI Number Information
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NPI Number | 1295468841
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Entity Type | Organization
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Legal Business Name | EMILY SHUPERT INC
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 3495 PIEDMONT RD NE BLDG 11, STE 708
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City | ATLANTA
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State | GA
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Zip | 30305
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Country | US
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Telephone | 404-260-7451
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 PIEDMONT RD NE BLDG 11, STE 708
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City | ATLANTA
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State | GA
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Zip | 30305
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Country | US
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Telephone | 404-260-7451
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. EMILY FERRARA
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Credential | LPC, CPCS
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Telephone | 404-844-3343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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