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General NPI Number Information
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NPI Number | 1952839938
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Entity Type | Individual
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Provider Name | LA TONYA DUNN MFT
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Gender | Female
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 5755 N POINT PKWY STE 101
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City | ALPHARETTA
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State | GA
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Zip | 30022-1152
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Country | US
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Telephone | 678-310-6631
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Fax |
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Provider Business Mailing Address
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Address Line | 3568 HABERSHAM AT NORTHLAKE BLDG. K
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City | TUCKER
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State | GA
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Zip | 30084
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Country | US
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Telephone | 678-585-2300
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Fax | 770-302-0892
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001441
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License Number State | GA
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