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General NPI Number Information
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NPI Number | 1497969695
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Entity Type | Organization
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Legal Business Name | COMMUNITY FRIENDSHIP INC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 85 RENAISSANCE PKWY NE
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City | ATLANTA
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State | GA
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Zip | 30308-2311
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Country | US
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Telephone | 404-875-0381
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Fax | 404-875-8248
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Provider Business Mailing Address
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Address Line | 85 RENAISSANCE PKWY NE
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City | ATLANTA
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State | GA
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Zip | 30308-2311
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Country | US
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Telephone | 404-875-0381
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Fax | 404-875-8248
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MS. JEAN TOOLE
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Credential |
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Telephone | 404-875-0381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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