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General NPI Number Information
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NPI Number | 1326436262
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Entity Type | Organization
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Legal Business Name | TRAINING AND COUNSELING CENTER AT SAINT LUKE'S
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 98 CURRIER ST NE
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City | ATLANTA
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State | GA
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Zip | 30308
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Country | US
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Telephone | 404-876-6266
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Fax |
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Provider Business Mailing Address
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Address Line | 435 PEACHTREE ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-3228
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Country | US
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Telephone | 404-876-6266
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DOROTHEA LOTZE-KOLA
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Credential |
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Telephone | 404-876-6266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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