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General NPI Number Information
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NPI Number | 1114229440
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Entity Type | Organization
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Legal Business Name | ANGELS AROUND US
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 8915 CREEKWOOD CT
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City | RIVERDALE
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State | GA
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Zip | 30274-4601
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Country | US
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Telephone | 700-471-2144
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1283
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-6283
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Country | US
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Telephone | 404-506-9751
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSEPH ALLEN SKINNER SR.
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Credential |
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Telephone | 770-374-8362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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