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General NPI Number Information
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NPI Number | 1174015630
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Entity Type | Organization
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Legal Business Name | THE FOSTER CARE ALLIANCE
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 2469 N DECATUR RD
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City | DECATUR
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State | GA
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Zip | 30033-6101
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Country | US
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Telephone | 470-885-7805
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Fax |
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Provider Business Mailing Address
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Address Line | 2469 N DECATUR RD
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City | DECATUR
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State | GA
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Zip | 30033-6101
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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 | EXEC DIRECTOR
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Name | CHELSEA SABO
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Credential |
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Telephone | 470-885-7805
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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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