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General NPI Number Information
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NPI Number | 1548942840
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Entity Type | Individual
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Provider Name | TAYLOR WILLIAMS DAVIDSON PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 1400 TULLIE RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-2309
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Country | US
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Telephone | 404-906-3894
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Fax |
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Provider Business Mailing Address
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Address Line | 3794 OXFORD CIR
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City | DORAVILLE
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State | GA
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Zip | 30340-7700
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Country | US
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Telephone | 404-906-3894
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY004736
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License Number State | GA
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