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General NPI Number Information
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NPI Number | 1326902891
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL CASE MANAGEMENT, LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 5759 WINCHESTER PL 5759 WINCHESTER PL
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City | LITHONIA
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State | GA
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Zip | 30038-4085
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Country | US
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Telephone | 404-307-3388
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Fax | 770-802-4872
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Provider Business Mailing Address
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Address Line | 5759 WINCHESTER PL 5759 WINCHESTER PL
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City | LITHONIA
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State | GA
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Zip | 30038-4085
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Country | US
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Telephone | 404-307-3388
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Fax | 770-802-4872
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Authorized Official
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Title or Position | CASE MANAGER
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Name | SONNY K FYNEFACE
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Credential | MSW
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Telephone | 404-307-3388
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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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