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General NPI Number Information
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NPI Number | 1811107469
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Entity Type | Organization
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Legal Business Name | TALMADGE & TALMADGE PC
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 34 LENOX POINTE NE
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City | ATLANTA
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State | GA
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Zip | 30324-3169
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Country | US
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Telephone | 404-261-9325
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Fax | 401-264-0743
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Provider Business Mailing Address
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Address Line | 34 LENOX POINTE NE
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City | ATLANTA
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State | GA
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Zip | 30324-3169
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Country | US
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Telephone | 404-261-9325
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Fax | 401-264-0743
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM C. TALMADGE
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Credential |
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Telephone | 404-261-9325
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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 | 760
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1018
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License Number State | GA
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