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General NPI Number Information
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NPI Number | 1316003312
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Entity Type | Organization
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Legal Business Name | WALTON COMMUNITY SERVICES, INC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 561 THORNTON RD SUITE Z
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-1558
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Country | US
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Telephone | 770-943-6858
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Fax | 770-943-2667
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Provider Business Mailing Address
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Address Line | 561 THORNTON RD SUITE Z
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-1558
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Country | US
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Telephone | 770-943-6858
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Fax | 770-943-2667
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEBORAH A WALTON
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Credential | R.N.BSN
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Telephone | 770-943-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | GA
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