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General NPI Number Information
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NPI Number | 1336044437
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Entity Type | Organization
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Legal Business Name | MARIETTA BRAIN HEALTH, LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 216 WASHINGTON AVE NE
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City | MARIETTA
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State | GA
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Zip | 30060-1959
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Country | US
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Telephone | 770-790-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 216 WASHINGTON AVE NE
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City | MARIETTA
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State | GA
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Zip | 30060-1959
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Country | US
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Telephone | 770-790-3522
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | TERRI ABRAHAM
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Credential | LPC
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Telephone | 770-591-7518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2472E0500X
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Taxonomy Name | EEG Technician
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License Number |
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License Number State | NULL
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