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General NPI Number Information
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NPI Number | 1215880422
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Entity Type | Organization
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Legal Business Name | A TOUCH OF THE MESSIAH GIVING GRACE INC.
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 2427 PICADILLY PL APT 111
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City | DECATUR
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State | GA
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Zip | 30034-3716
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Country | US
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Telephone | 470-217-3478
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Fax |
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Provider Business Mailing Address
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Address Line | 2427 PICADILLY PL APT 111
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City | DECATUR
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State | GA
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Zip | 30034-3716
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Country | US
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Telephone | 470-217-3478
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Fax |
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Authorized Official
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Title or Position | CNA
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Name | MISS CRYSTAL MARIA SMITH
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Credential | CNA
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Telephone | 943-240-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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