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General NPI Number Information
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NPI Number | 1033756861
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD IMPROVEMENT PROJECT INC
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 2300 WRIGHTSBORO RD
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City | AUGUSTA
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State | GA
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Zip | 30904-6220
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Country | US
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Telephone | 706-790-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 2467 GOLDEN CAMP RD
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City | AUGUSTA
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State | GA
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Zip | 30906-5515
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Country | US
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Telephone | 706-790-4440
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | WESLEY WOOD
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Credential |
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Telephone | 706-790-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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