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General NPI Number Information
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NPI Number | 1043165145
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Entity Type | Organization
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Legal Business Name | ANCHORED IN GRACE CASE MANAGEMENT
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 10106 COBALT WAY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7699
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Country | US
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Telephone | 470-453-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 10106 COBALT WAY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7699
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Country | US
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Telephone | 470-453-2111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VANESSA HARPER BAZEMORE
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Credential | MASTERS
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Telephone | 470-453-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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