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General NPI Number Information
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NPI Number | 1750012605
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Entity Type | Organization
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Legal Business Name | TIGRESS AND CO A BOUTIQUE OF THERAPEUTIC
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 225 FRANKLIN RD UNIT 3407
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City | ATLANTA
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State | GA
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Zip | 30342-2754
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Country | US
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Telephone | 916-613-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 225 FRANKLIN RD UNIT 3407
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City | ATLANTA
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State | GA
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Zip | 30342-2754
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Country | US
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Telephone | 916-613-7122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA M BURTON
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Credential |
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Telephone | 916-613-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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