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General NPI Number Information
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NPI Number | 1396440103
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Entity Type | Organization
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Legal Business Name | ATLANTA PSYCHOEDUCATIONAL SERVICES
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 3340 PEACHTREE RD NE STE 1800
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City | ATLANTA
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State | GA
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Zip | 30326-1064
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Country | US
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Telephone | 404-410-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 2870 PEACHTREE RD NW STE 243
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City | ATLANTA
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State | GA
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Zip | 30305-2918
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Country | US
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Telephone | 404-410-0224
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Fax |
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Authorized Official
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Title or Position | DIRECTOR / OWNER
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Name | DARNELL T LOGAN
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Credential | ED.D.
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Telephone | 404-410-0224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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