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General NPI Number Information
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NPI Number | 1447426200
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Entity Type | Organization
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Legal Business Name | GORDON BEHAVIORAL SCIENCES P.C.
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 1013 N 5TH AVE NE STE 4
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City | ROME
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State | GA
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Zip | 30165-2664
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Country | US
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Telephone | 706-234-0034
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Fax | 678-348-7595
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Provider Business Mailing Address
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Address Line | 109 JOHN MADDOX DR NW
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City | ROME
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State | GA
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Zip | 30165-1451
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Country | US
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Telephone | 706-234-0034
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Fax | 706-234-0033
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK G. PRATT JR.
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Credential | M.D.
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Telephone | 706-234-0034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 18538
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License Number State | GA
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