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General NPI Number Information
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NPI Number | 1750410080
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Entity Type | Individual
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Provider Name | CHRISTI LYN BARTOLOMUCCI PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3500 PIEDMONT RD NE SUITE 211
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City | ATLANTA
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State | GA
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Zip | 30305-1507
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Country | US
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Telephone | 404-846-2600
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Fax | 404-846-2700
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Provider Business Mailing Address
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Address Line | 1122 DREWSBURY CT SE
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City | SMYRNA
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State | GA
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Zip | 30080-3960
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Country | US
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Telephone | 404-808-3370
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Fax | 404-846-2700
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 002707
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License Number State | GA
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