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General NPI Number Information
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NPI Number | 1588130991
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Entity Type | Organization
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Legal Business Name | EMMA STEIN PSYCHOLOGY LLC
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 275 COLLIER RD NW STE 470
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City | ATLANTA
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State | GA
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Zip | 30309-1711
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Country | US
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Telephone | 404-324-6839
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Fax |
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Provider Business Mailing Address
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Address Line | 1644 ADELIA PL NE
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City | ATLANTA
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State | GA
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Zip | 30329-3808
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Country | US
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Telephone | 404-324-6839
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. EMMA STEIN
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Credential | PHD
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Telephone | 404-324-6839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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