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General NPI Number Information
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NPI Number | 1699588822
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Entity Type | Individual
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Provider Name | MONISHA CHANDRA PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1041 CAMBRIDGE SQ STE A
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City | ALPHARETTA
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State | GA
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Zip | 30009-1871
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Country | US
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Telephone | 770-361-7864
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Fax |
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Provider Business Mailing Address
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Address Line | 7505 HIGHLAND BLF
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City | ATLANTA
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State | GA
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Zip | 30328-2878
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Country | US
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Telephone | 205-454-9270
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Fax | 205-454-9270
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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 | PSY004853
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License Number State | GA
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