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General NPI Number Information
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NPI Number | 1245439116
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Entity Type | Organization
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Legal Business Name | GEORGIA BAPTIST CHILDREN'S HOMES AND FAMILY MINISTRIES, INC.
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 9420 BLACKSHEAR HWY
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City | BAXLEY
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State | GA
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Zip | 31513-5715
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Country | US
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Telephone | 770-912-3676
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Fax | 917-367-2268
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Provider Business Mailing Address
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Address Line | PO BOX 329
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City | PALMETTO
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State | GA
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Zip | 30268-0329
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Country | US
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Telephone | 770-463-3800
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Fax | 770-463-6439
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KENNY THOMPSON
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Credential | D.MIN., M.DIV., MFS
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Telephone | 770-463-3800
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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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