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General NPI Number Information
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NPI Number | 1952896276
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Entity Type | Individual
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Provider Name | CHAD IRVIN LOHMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 3800 CAMP CREEK PKWY, SW BUILDING 2000
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City | ATLANTA
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State | GA
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Zip | 30331-6226
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Country | US
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Telephone | 678-686-1488
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Fax |
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Provider Business Mailing Address
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Address Line | 505 FOXGLOVE CT
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-3037
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Country | US
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Telephone | 770-468-9795
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 31121
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License Number State | TX
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