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General NPI Number Information
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NPI Number | 1730753880
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Entity Type | Organization
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Legal Business Name | CENTER FOR PSYCHOLOGICAL PERFORMANCE, INC.
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 2440 SANDY PLAINS RD BLDG 13-100
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City | MARIETTA
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State | GA
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Zip | 30066-7206
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Country | US
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Telephone | 770-282-4946
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Fax |
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Provider Business Mailing Address
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Address Line | 2871 HILTON CIR NW
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City | KENNESAW
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State | GA
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Zip | 30152-5865
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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 | OWNER
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Name | DR. LINDSEY SCHRIEFER
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Credential | PH.D.
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Telephone | 770-282-4946
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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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