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General NPI Number Information
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NPI Number | 1073337556
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Entity Type | Organization
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Legal Business Name | GLOBAL VILLAGE ASSOCIATES LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1800 WATER PL SE STE 1810-140
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City | ATLANTA
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State | GA
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Zip | 30339-2061
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Country | US
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Telephone | 678-504-7178
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 WATER PL SE STE 1810-140
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City | ATLANTA
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State | GA
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Zip | 30339-2061
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Country | US
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Telephone | 678-504-7178
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MICHAEL OKOLI
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Credential |
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Telephone | 646-660-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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