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General NPI Number Information
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NPI Number | 1023543766
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Entity Type | Organization
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Legal Business Name | ONE HEART AND ONE MIND INC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 5737 OLD NATIONAL HWY SUITE 300
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City | ATLANTA
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State | GA
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Zip | 30349-7410
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Country | US
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Telephone | 678-834-7615
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Fax | 678-834-7616
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Provider Business Mailing Address
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Address Line | 5737 OLD NATIONAL HWY SUITE 300
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City | ATLANTA
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State | GA
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Zip | 30349-7410
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Country | US
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Telephone | 678-834-7615
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Fax | 678-834-7616
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Authorized Official
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Title or Position | CEO
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Name | BILLY RICE
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Credential |
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Telephone | 678-834-7615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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