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General NPI Number Information
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NPI Number | 1538607346
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Entity Type | Organization
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Legal Business Name | GEORGIA DETOX AND RECOVERY CENTERS, LLC
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2300 WINDY RIDGE PKWY SE STE # 210-S
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City | ATLANTA
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State | GA
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Zip | 30339-5665
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Country | US
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Telephone | 678-813-0505
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Fax | 678-813-0505
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Provider Business Mailing Address
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Address Line | 2300 WINDY RIDGE PKWY SE STE # 210-S
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City | ATLANTA
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State | GA
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Zip | 30339-5665
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Country | US
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Telephone | 678-813-0505
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Fax | 678-813-0505
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Authorized Official
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Title or Position | VP OF RCM
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Name | DEBRA TOWNSEND
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Credential |
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Telephone | 470-440-1647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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