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General NPI Number Information
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NPI Number | 1427100783
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Entity Type | Organization
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Legal Business Name | CHRISTIAN CENTERED EMPOWERMENT, INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 12/06/2008
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Provider Practice Location Address
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Address Line | 2745 MOUNT ZION RD 102
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City | JONESBORO
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State | GA
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Zip | 30236-6890
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Country | US
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Telephone | 404-472-7318
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Fax | 404-795-8974
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Provider Business Mailing Address
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Address Line | PO BOX 370080
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City | DECATUR
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State | GA
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Zip | 30037-0080
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Country | US
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Telephone | 404-472-7318
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Fax | 404-795-8974
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Authorized Official
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Title or Position | FOUNDERCEO
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Name | NICOLE N GUYTON
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Credential |
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Telephone | 404-795-8974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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