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General NPI Number Information
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NPI Number | 1376763391
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Entity Type | Organization
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Legal Business Name | BEGINNINGS PSYCHOLOGY INC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 89 HOSPITAL CIR SUITE 7
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City | ELLIJAY
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State | GA
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Zip | 30540-9668
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Country | US
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Telephone | 706-635-8878
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Fax | 706-635-8878
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Provider Business Mailing Address
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Address Line | 89 HOSPITAL CIR SUITE 7
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City | ELLIJAY
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State | GA
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Zip | 30540-9668
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Country | US
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Telephone | 706-635-8878
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Fax | 706-635-8878
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN LEANDER CHESHIRE
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Credential | PHD
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Telephone | 706-635-8878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY002308
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License Number State | GA
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