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General NPI Number Information
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NPI Number | 1073027520
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Entity Type | Organization
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Legal Business Name | BUSINESS TALENT SOLUTIONS LLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 4474 N ROYAL ATLANTA DRIVE SUITE A
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City | TUCKER
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State | GA
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Zip | 30084-3008
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Country | US
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Telephone | 678-671-9594
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Fax |
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Provider Business Mailing Address
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Address Line | 4744 N ROYAL ATLANTA DR
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City | TUCKER
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State | GA
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Zip | 30084-3820
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Country | US
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Telephone | 678-671-9594
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHATRECE JENKINS
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Credential |
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Telephone | 678-671-9594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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