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General NPI Number Information
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NPI Number | 1902031438
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Entity Type | Organization
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Legal Business Name | CENTER FOR ATTENTION & PSYCHIATRY, LLC
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 840 KENNESAW AVE. SUITE 8
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City | MARIETTA
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State | GA
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Zip | 30060
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Country | US
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Telephone | 770-715-2850
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Fax | 678-354-6227
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Provider Business Mailing Address
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Address Line | PMB #304 2900 DELK RD #700
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City | MARIETTA
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State | GA
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Zip | 30067
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Country | US
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Telephone | 770-715-2850
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Fax | 678-354-6227
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Authorized Official
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Title or Position | OWNER
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Name | GURPREET S. AHLUWALIA
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Credential | M.D.
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Telephone | 770-715-2850
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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 | 040295
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License Number State | GA
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