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General NPI Number Information
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NPI Number | 1790993814
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Entity Type | Organization
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Legal Business Name | KATE AVINGER PSY.D., P.C.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 485 HUNTINGTON RD STE 201
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City | ATHENS
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State | GA
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Zip | 30606-1845
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Country | US
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Telephone | 706-546-8440
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Fax | 706-546-8456
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Provider Business Mailing Address
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Address Line | 485 HUNTINGTON RD STE 201
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City | ATHENS
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State | GA
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Zip | 30606-1845
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Country | US
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Telephone | 706-546-8440
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Fax | 706-546-8456
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. KATHERINE ANNE AVINGER
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Credential | PSY.D.
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Telephone | 706-546-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY003056
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License Number State | GA
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