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General NPI Number Information
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NPI Number | 1487197026
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Entity Type | Organization
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Legal Business Name | VERITAS COLLABORATIVE GEORGIA, LLC
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 41 PERIMETER CENTER EAST SUITE 250
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City | DUNWOODY
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State | GA
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Zip | 30346
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Country | US
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Telephone | 888-364-5977
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Fax | 770-545-6284
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Provider Business Mailing Address
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Address Line | 1295 BANDANA BLVD. SUITE 210
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City | ST. PAUL
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State | MN
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Zip | 55108
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Country | US
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Telephone | 888-364-5977
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Fax | 919-908-9778
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MEREDITH TRUDGEON
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Credential |
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Telephone | 919-767-0274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric 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 | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State | GA
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