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General NPI Number Information
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NPI Number | 1447289863
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Entity Type | Individual
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Provider Name | MEREDITH LUCY KNIGHT PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 4620 IVYGATE CIR SE
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City | ATLANTA
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State | GA
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Zip | 30339-1329
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Country | US
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Telephone | 404-317-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 4620 IVYGATE CIR SE
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City | ATLANTA
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State | GA
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Zip | 30339-1329
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Country | US
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Telephone | 404-317-3668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 002398
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License Number State | GA
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