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General NPI Number Information
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NPI Number | 1750042735
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Entity Type | Individual
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Provider Name | JANAY MYKALE DENNIE
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Gender | Female
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 400 NORTHRIDGE RD STE 140
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-3352
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Country | US
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Telephone | 470-361-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 247 ARNEWOOD CIR
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City | MCDONOUGH
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State | GA
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Zip | 30253-6024
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Country | US
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Telephone | 734-502-5971
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-80927
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License Number State |
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