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General NPI Number Information
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NPI Number | 1265732127
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Entity Type | Organization
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Legal Business Name | ACHOR CENTER, INC.
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 180 PEYTON PL SW
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City | ATLANTA
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State | GA
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Zip | 30311-1616
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Country | US
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Telephone | 404-699-5657
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Fax | 404-699-5965
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Provider Business Mailing Address
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Address Line | 180 PEYTON PL SW
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City | ATLANTA
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State | GA
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Zip | 30311-1616
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Country | US
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Telephone | 404-699-5657
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Fax | 404-699-5965
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Authorized Official
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Title or Position | BOARD CHAIR
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Name | MR. WALTER CALLOWAY
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Credential |
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Telephone | 404-699-5657
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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