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General NPI Number Information
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NPI Number | 1679926950
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Entity Type | Individual
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Provider Name | CINDY HATFIELD FRUITS PSY. D, LPC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 4839 N. MAIN STREET
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City | ACWORTH
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State | GA
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Zip | 30101
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Country | US
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Telephone | 770-547-2070
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Fax | 770-485-9228
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Provider Business Mailing Address
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Address Line | 4839 N. MAIN STREET
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City | ACWORTH
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State | GA
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Zip | 30101
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Country | US
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Telephone | 770-547-2070
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Fax | 770-485-9228
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LPC008884
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License Number State | GA
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