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General NPI Number Information
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NPI Number | 1255888525
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Entity Type | Organization
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Legal Business Name | DRAWANERT ASSOCIATES
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Dates
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Enumeration Date | 09/05/2016
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Last Update Date | 09/05/2016
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Provider Practice Location Address
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Address Line | 808 COMMERCE BLVD STE C2
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City | RIVERDALE
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State | GA
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Zip | 30296-7192
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Country | US
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Telephone | 868-613-0430
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Fax |
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Provider Business Mailing Address
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Address Line | 3657 GRAY BIRCH DR
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City | DECATUR
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State | GA
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Zip | 30034-7322
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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 | LCSW
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Name | SADAQA WARD
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Credential |
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Telephone | 868-613-0430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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