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General NPI Number Information
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NPI Number | 1427675990
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Entity Type | Organization
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Legal Business Name | DUNWOODY PSYCHOLOGICAL ASSOCIATION INC.
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 5755 N POINT PKWY STE 205
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City | ALPHARETTA
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State | GA
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Zip | 30022-1170
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Country | US
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Telephone | 678-971-9814
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Fax | 770-772-6425
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Provider Business Mailing Address
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Address Line | PO BOX 3054
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City | ALPHARETTA
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State | GA
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Zip | 30023-3054
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Country | US
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Telephone | 770-843-3450
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Fax | 770-772-6425
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | DR. VALJEAN MCNEILL WHITLOW
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Credential | PH.D
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Telephone | 770-843-3450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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