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General NPI Number Information
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NPI Number | 1518733906
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Entity Type | Individual
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Provider Name | KATHARINE ALYSSA BUECHNER LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 3700 MARTIN LUTHER KING JR DR SW
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City | ATLANTA
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State | GA
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Zip | 30331-3674
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Country | US
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Telephone | 470-825-1341
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Fax |
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Provider Business Mailing Address
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Address Line | 976 BOULDERCREST DR SE
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City | ATLANTA
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State | GA
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Zip | 30316-2261
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Country | US
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Telephone | 678-592-2370
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MSW011417
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License Number State | GA
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