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General NPI Number Information
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NPI Number | 1346611019
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Entity Type | Organization
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Legal Business Name | SARAH PARRIOTT HIGHTOWER
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 675 SEMINOLE AVE NE STE 106
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City | ATLANTA
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State | GA
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Zip | 30307-3411
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Country | US
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Telephone | 404-428-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 1885 WINDING CROSSING TRL
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City | FAIRBURN
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State | GA
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Zip | 30213-1274
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Country | US
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Telephone | 404-428-4114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SARAH HIGHTOWER
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Credential | LPC
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Telephone | 404-428-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC008497
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License Number State | GA
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