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General NPI Number Information
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NPI Number | 1093620213
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Entity Type | Organization
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Legal Business Name | THE ALABASTER HOUSE LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 1409 N HIGHLAND AVE NE
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City | ATLANTA
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State | GA
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Zip | 30306-3300
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Country | US
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Telephone | 404-424-9827
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 N HIGHLAND AVE NE
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City | ATLANTA
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State | GA
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Zip | 30306-3300
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Country | US
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Telephone | 404-424-9827
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | BOMA UBANI AKISANYA
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Credential | MPH, MBA
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Telephone | 626-483-7840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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