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General NPI Number Information
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NPI Number | 1427617398
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Entity Type | Organization
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Legal Business Name | REGION 13 DEPARTMENT OF FAMILY AND CHILDREN SWS
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 95 CONSTITUTION BLVD STE 400
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-5647
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Country | US
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Telephone | 770-390-4149
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Fax | 770-995-6941
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Provider Business Mailing Address
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Address Line | 95 CONSTITUTION BLVD STE 400
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-5647
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Country | US
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Telephone | 770-390-4149
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Fax | 770-995-6941
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Authorized Official
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Title or Position | FIELD OPERATIONS MANAGER
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Name | MRS. LORI JONES
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Credential |
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Telephone | 770-390-4149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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