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General NPI Number Information
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NPI Number | 1497690051
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Entity Type | Organization
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Legal Business Name | HATHROCK HEALTHCARE NETWORK, LLC/
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 817 PAVILION CT
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City | MCDONOUGH
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State | GA
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Zip | 30253-6666
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Country | US
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Telephone | 470-357-2974
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Fax | 404-923-9933
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Provider Business Mailing Address
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Address Line | 817 PAVILION CT
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City | MCDONOUGH
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State | GA
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Zip | 30253-6666
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Country | US
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Telephone | 470-357-2974
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Fax | 404-923-9933
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MICHAEL E. CANTY SR.
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Credential |
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Telephone | 470-357-2974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 372500000X
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Taxonomy Name | Chore Provider
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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