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General NPI Number Information
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NPI Number | 1710143094
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Entity Type | Individual
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Provider Name | FOLUSO M LAWAL-SOLARIN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 140 DECATUR ST SE SUITE 750
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City | ATLANTA
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State | GA
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Zip | 30303
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Country | US
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Telephone | 404-413-6293
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Fax |
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Provider Business Mailing Address
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Address Line | 140 DECATUR ST SE SUITE 750
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City | ATLANTA
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State | GA
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Zip | 30303
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Country | US
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Telephone |
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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 | PSY003150
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P6394
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License Number State | OH
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