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General NPI Number Information
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NPI Number | 1447307400
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Entity Type | Organization
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Legal Business Name | ALBANY AREA COMMUNITY SERVICE BOARD
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 763 JESSE JOHNSON DR
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City | BLAKELY
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State | GA
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Zip | 39823-3224
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Country | US
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Telephone | 229-430-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 2063 S MAIN ST
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City | BLAKELY
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State | GA
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Zip | 39823-2267
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANA P GLASS
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Credential | LCSW
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Telephone | 229-430-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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