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General NPI Number Information
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NPI Number | 1053101246
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Entity Type | Organization
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Legal Business Name | CARING HEARTS PSYCHIATRY INC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 301 WHITE INGRAM PKWY
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City | DALLAS
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State | GA
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Zip | 30132-5066
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Country | US
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Telephone | 678-350-8322
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Fax |
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Provider Business Mailing Address
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Address Line | 1068 MERCHANTS DR APT 437
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City | DALLAS
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State | GA
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Zip | 30132-2970
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Country | US
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Telephone | 678-350-8322
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS ORANDA VERONICA PRINCE
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Credential |
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Telephone | 678-350-8322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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