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General NPI Number Information
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NPI Number | 1063346260
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Entity Type | Organization
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Legal Business Name | DESTINY OVER TIME SOLUTIONS DOTS LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 5113 HATCHER DRIVE 5113
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City | STOCKBRIDGE
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State | GA
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Zip | 30281
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Country | US
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Telephone | 770-780-9001
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Fax |
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Provider Business Mailing Address
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Address Line | 5113 HATCHER DRIVE 5113
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City | STOCKBRIDGE
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State | GA
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Zip | 30281
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Country | US
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Telephone | 770-780-9001
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MS. LAKISHIA WADDELL
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Credential | MSW
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Telephone | 770-780-9001
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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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