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General NPI Number Information
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NPI Number | 1528858750
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Entity Type | Organization
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Legal Business Name | MICHELLE HADDAD NEUROPSYCHOLOGY LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1827 POWERS FERRY RD SE BLDG 22
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City | ATLANTA
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State | GA
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Zip | 30339-5621
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Country | US
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Telephone | 770-953-4744
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Fax | 770-953-4640
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Provider Business Mailing Address
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Address Line | 3525 PIEDMONT RD NE STE 210
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City | ATLANTA
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State | GA
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Zip | 30305-1578
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Country | US
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Telephone | 404-480-3691
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Fax |
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Authorized Official
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Title or Position | CLINICAL NEUROPSYCHOLOGIST
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Name | MICHELLE M HADDAD
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Credential | PHD
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Telephone | 404-480-3691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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