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General NPI Number Information
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NPI Number | 1992223226
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Entity Type | Organization
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Legal Business Name | DBDT, LLC
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1373 CLEVELAND AVE
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City | ATLANTA
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State | GA
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Zip | 30344-3423
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Country | US
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Telephone | 678-573-2970
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Fax | 678-967-0963
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Provider Business Mailing Address
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Address Line | 1373 CLEVELAND AVE
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City | ATLANTA
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State | GA
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Zip | 30344-3423
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Country | US
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Telephone | 678-573-2970
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Fax | 678-967-0963
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Authorized Official
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Title or Position | OWNER
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Name | MISS KIRBI MICHELLE TURNER
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Credential | MS
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Telephone | 504-346-1255
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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 |
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License Number State |
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