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General NPI Number Information
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NPI Number | 1487196044
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Entity Type | Individual
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Provider Name | CORETTA KING-BRASWELL
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Gender | Female
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 2822 WOODHOLLOW LN
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City | JONESBORO
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State | GA
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Zip | 30236-2829
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Country | US
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Telephone | 386-338-8222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1194
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City | JONESBORO
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State | GA
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Zip | 30237-1194
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Country | US
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Telephone | 386-338-8222
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 81-1453757
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License Number State | GA
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