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General NPI Number Information
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NPI Number | 1114886843
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Entity Type | Organization
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Legal Business Name | BEYOND CARE SERVICES GA LLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3133 MAPLE DR NE
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City | ATLANTA
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State | GA
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Zip | 30305-2505
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Country | US
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Telephone | 801-429-9671
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 MAPLE DR NE
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City | ATLANTA
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State | GA
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Zip | 30305-2505
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | J G
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Credential |
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Telephone | 718-698-5462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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