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General NPI Number Information
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NPI Number | 1326795444
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Entity Type | Individual
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Provider Name | STEPHANIE BRIGHTHARP CARTWRIGHT ED.D, NCC, GC-C, APC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 2751 BUFORD HWY NE STE 700
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City | ATLANTA
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State | GA
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Zip | 30324-5510
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Country | US
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Telephone | 404-948-6975
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Fax |
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Provider Business Mailing Address
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Address Line | 4695 N CHURCH LN SE APT 14308
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City | ATLANTA
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State | GA
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Zip | 30339-0521
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Country | US
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Telephone | 803-341-2122
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC008146
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License Number State | GA
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