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General NPI Number Information
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NPI Number | 1902014103
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Entity Type | Individual
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Provider Name | MARGARET ELIZABETH PETTIGREW LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2555 NORTHWINDS PKWY SUITE 300
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City | ALPHARETTA
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State | GA
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Zip | 30004-2232
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Country | US
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Telephone | 678-319-3723
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Fax |
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Provider Business Mailing Address
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Address Line | 2056 CLAIRMEADE WAY NE
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City | ATLANTA
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State | GA
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Zip | 30329-1069
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Country | US
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Telephone | 404-248-1435
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW001283
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License Number State | GA
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