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General NPI Number Information
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NPI Number | 1770243438
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Entity Type | Organization
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Legal Business Name | DOWD CENTER FOR CHILD DEVELOPMENT
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 945 MEMORIAL DR SE STE 422
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City | ATLANTA
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State | GA
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Zip | 30316-1537
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Country | US
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Telephone | 404-293-6947
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Fax |
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Provider Business Mailing Address
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Address Line | 945 MEMORIAL DR SE STE 422
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City | ATLANTA
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State | GA
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Zip | 30316-1537
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Country | US
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Telephone | 404-293-6947
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDRA DOWD
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Credential |
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Telephone | 214-908-6916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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