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NPI 1316404767

NPI 1316404767 : GEORGIA HARM REDUCTION COALITION INC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1316404767
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGIA HARM REDUCTION COALITION INC 
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Dates
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    Enumeration Date     |    02/21/2019
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    Last Update Date     |    02/16/2024
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Provider Practice Location Address
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    Address Line         |    1231 JOSEPH E BOONE BLVD NW 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30314-2395
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    Country              |    US
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    Telephone            |    404-817-9994
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    Fax                  |    404-817-9939
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Provider Business Mailing Address
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    Address Line         |    1231 JOSEPH E BOONE BLVD NW 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30314-2395
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    Country              |    US
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    Telephone            |    404-817-9994
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    Fax                  |    404-817-9939
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. MOJGAN  ZARE 
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    Credential           |    M.D.
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    Telephone            |    404-817-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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    Taxonomy Code        |    261QP0905X
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    Taxonomy Name        |    State or Local Public Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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    License Number       |    
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    License Number State |    
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