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General NPI Number Information
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NPI Number | 1417418674
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Entity Type | Organization
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Legal Business Name | EMPOWERING INITIATIVE, LLC
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 513 E OGLETHORPE AVE STE F
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City | SAVANNAH
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State | GA
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Zip | 31401-4141
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Country | US
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Telephone | 912-208-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 21 COVE CT
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City | SAVANNAH
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State | GA
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Zip | 31419-9384
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Country | US
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Telephone | 912-695-7863
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. WES JAMES HARDCASTLE-ORR
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Credential | M.S.W.
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Telephone | 912-695-7863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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