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General NPI Number Information
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NPI Number | 1972648053
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Entity Type | Organization
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Legal Business Name | NORTH RIVER PSYCHOLOGICAL ASSOCIATES
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11205 ALPHARETTA HWY. STE. A-4
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City | ROSWELL
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State | GA
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Zip | 30076
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Country | US
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Telephone | 770-754-0751
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Fax | 770-754-0752
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Provider Business Mailing Address
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Address Line | 11205 ALPHARETTA HWY. STE. A-4
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City | ROSWELL
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State | GA
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Zip | 30076
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Country | US
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Telephone | 770-754-0751
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Fax | 770-754-0752
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LYNN MARY KARJALA
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Credential | PH.D.
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Telephone | 770-754-0751
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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 | PSY001128
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License Number State | GA
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