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General NPI Number Information
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NPI Number | 1184395535
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Entity Type | Organization
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Legal Business Name | HUEMAN WELLNESS CENTER, LLC.
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 1821 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-4021
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Country | US
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Telephone | 404-731-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 1273 METROPOLITAN AVE SE UNIT 160283
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City | ATLANTA
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State | GA
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Zip | 30316-8003
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Country | US
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Telephone | 404-731-4500
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Fax |
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Authorized Official
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Title or Position | CHIEF WELLNESS OFFICER
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Name | MS. JENNIFER M PHILIPS
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Credential | LPC
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Telephone | 404-731-4500
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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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