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General NPI Number Information
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NPI Number | 1548357601
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Entity Type | Organization
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Legal Business Name | DALTON PSYCHIATRIC CENTER
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 203 N THORNTON AVE
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City | DALTON
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State | GA
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Zip | 30720-4273
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Country | US
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Telephone | 706-275-8104
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Fax | 706-275-8104
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Provider Business Mailing Address
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Address Line | PO BOX 692
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City | DALTON
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State | GA
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Zip | 30722-0692
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Country | US
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Telephone | 706-275-8104
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Fax | 706-275-8104
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA NORMAN
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Credential | D.O.
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Telephone | 706-275-8104
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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 | CSW001818
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License Number State | GA
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