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General NPI Number Information
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NPI Number | 1225495641
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Entity Type | Organization
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Legal Business Name | AFTER THE BELL
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Dates
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Enumeration Date | 01/16/2016
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Last Update Date | 01/16/2016
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Provider Practice Location Address
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Address Line | 427 MORELAND AVE NE
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City | ATLANTA
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State | GA
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Zip | 30307-1500
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Country | US
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Telephone | 404-228-3976
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5468
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City | ATLANTA
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State | GA
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Zip | 31107-0468
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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 | DIRECTOR
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Name | ERLSES CARUTH
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Credential |
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Telephone | 404-228-3976
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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 | 006820
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License Number State | GA
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