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General NPI Number Information
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NPI Number | 1366619652
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Entity Type | Organization
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Legal Business Name | ALARIS BEHAVIORAL SERVICES, P.C.
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 110 HABERSHAM DR SUITE 146
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1381
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Country | US
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Telephone | 770-371-5110
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Fax | 678-500-6797
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Provider Business Mailing Address
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Address Line | 110 HABERSHAM DR SUITE 146
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-1381
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Country | US
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Telephone | 770-371-5110
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Fax | 678-500-6797
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | DR. LINDA R. NEALE
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Credential | D.O.
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Telephone | 770-716-4117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 49070
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License Number State | GA
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