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General NPI Number Information
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NPI Number | 1518895523
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Entity Type | Organization
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Legal Business Name | TILLMAN ACADEMY
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 122 WASHINGTON ST
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City | JEFFERSON
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State | GA
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Zip | 30549-6660
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Country | US
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Telephone | 762-445-4925
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | HOSCHTON
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State | GA
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Zip | 30548-0054
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Country | US
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Telephone | 762-445-4925
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHARESA LASHUN TILLMAN
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Credential |
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Telephone | 762-445-4925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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