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General NPI Number Information
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NPI Number | 1225427537
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Entity Type | Organization
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Legal Business Name | CARE COUNSELING OF GEORGIA
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Dates
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Enumeration Date | 01/10/2015
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Last Update Date | 01/10/2015
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Provider Practice Location Address
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Address Line | 76 MILLENNIUM CIR
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City | RINGGOLD
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State | GA
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Zip | 30736-2775
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Country | US
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Telephone | 706-935-5000
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Fax | 706-410-2273
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Provider Business Mailing Address
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Address Line | 76 MILLENNIUM CIR
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City | RINGGOLD
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State | GA
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Zip | 30736-2775
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Country | US
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Telephone | 706-935-5000
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Fax | 706-410-2273
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Authorized Official
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Title or Position | COUNSELOR
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Name | KIMBALI TAYLOR
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Credential |
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Telephone | 423-991-0494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC005328
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License Number State | GA
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