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General NPI Number Information
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NPI Number | 1437940129
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Entity Type | Organization
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Legal Business Name | KWONPSYCHIATRY,INC.
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 7046 ELMWOOD RIDGE CT
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City | ATLANTA
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State | GA
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Zip | 30340-1873
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Country | US
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Telephone | 404-725-8881
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Fax | 404-254-6523
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Provider Business Mailing Address
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Address Line | 4549 CYPRESS PARK DR
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City | GAINESVILLE
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State | GA
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Zip | 30504-5995
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Country | US
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Telephone | 404-725-8881
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Fax |
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Authorized Official
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Title or Position | INCORPORATOR
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Name | HYUN JUNG KWON
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Credential | NP
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Telephone | 404-868-8962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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