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General NPI Number Information
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NPI Number | 1063305506
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Entity Type | Organization
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Legal Business Name | PEER SOLUTIONS OF GEORGIA, INC.
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 2097 TOWNSHIP DR
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City | WOODSTOCK
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State | GA
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Zip | 30189-5283
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Country | US
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Telephone | 770-500-9348
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Fax |
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Provider Business Mailing Address
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Address Line | 2097 TOWNSHIP DR
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City | WOODSTOCK
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State | GA
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Zip | 30189-5283
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Country | US
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Telephone | 770-500-9348
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARY BETH HAILE
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Credential |
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Telephone | 770-500-9348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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