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General NPI Number Information
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NPI Number | 1497902480
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Entity Type | Organization
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Legal Business Name | DEBRA ALVIS, PH.D., INC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 1551 JENNINGS MILL RD SUITE 2000 B
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City | BOGART
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State | GA
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Zip | 30622-2544
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Country | US
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Telephone | 706-369-7441
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Fax | 706-549-2569
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Provider Business Mailing Address
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Address Line | 1551 JENNINGS MILL RD SUITE 2000 B
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City | BOGART
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State | GA
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Zip | 30622-2544
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Country | US
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Telephone | 706-369-7441
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Fax | 706-549-2569
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEBRA KAY ALVIS
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Credential | PH.D.
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Telephone | 706-369-7441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY2296
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License Number State | GA
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