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General NPI Number Information
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NPI Number | 1477440063
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Entity Type | Organization
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Legal Business Name | WEDA HEALTH GROUP LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL STE R
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 888-988-2924
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3294
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City | MACON
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State | GA
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Zip | 31205-3294
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Country | US
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Telephone | 888-988-2924
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CLARISSA PAUL
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Credential |
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Telephone | 229-327-7047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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