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General NPI Number Information
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NPI Number | 1790362994
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Entity Type | Organization
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Legal Business Name | MD PSYCHIATRY CLINIC LLC
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 555 NORTH POINT E SUITE 400
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City | ALPHARETTA
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State | GA
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Zip | 30022
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Country | US
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Telephone | 470-387-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 210 DODD LN
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City | ALPHARETTA
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State | GA
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Zip | 30005-3973
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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 | MD/CEO
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Name | ZEHRA ERDEVE TEMIZ
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Credential | MD
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Telephone | 470-387-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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