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General NPI Number Information
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NPI Number | 1912166604
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Entity Type | Individual
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Provider Name | JOY J REEVES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 5737 OLD NATIONAL HWY STE 400
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City | COLLEGE PARK
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State | GA
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Zip | 30349-3865
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Country | US
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Telephone | 678-318-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 4063 BUTTERNUT PL
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City | COLLEGE PARK
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State | GA
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Zip | 30349-8109
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Country | US
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Telephone | 678-525-7314
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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