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General NPI Number Information
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NPI Number | 1104548049
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Entity Type | Organization
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Legal Business Name | THE FOCUS GROUP LLC
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 1063 CREEK BOTTOM RD
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City | LOGANVILLE
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State | GA
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Zip | 30052-8674
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Country | US
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Telephone | 770-596-8714
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Fax |
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Provider Business Mailing Address
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Address Line | 1063 CREEK BOTTOM RD
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City | LOGANVILLE
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State | GA
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Zip | 30052-8674
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Country | US
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Telephone | 770-596-8714
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BARBARA LESLIE
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Credential |
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Telephone | 770-314-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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