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General NPI Number Information
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NPI Number | 1306961958
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Entity Type | Organization
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Legal Business Name | MORNING LIGHT FOUNDATION, INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2535 BANKSTONE DR SW
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City | MARIETTA
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State | GA
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Zip | 30064-4307
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Country | US
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Telephone | 770-792-1198
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7604
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City | ATLANTA
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State | GA
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Zip | 30357-0604
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Country | US
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Telephone | 404-636-1683
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Fax | 404-870-0553
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CYNTHIA MILLER
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Credential |
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Telephone | 404-213-3702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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