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General NPI Number Information
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NPI Number | 1558298828
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Entity Type | Organization
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Legal Business Name | SUPPORT OUR STUDENTS FUTURE
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 6595 ROSWELL ROAD STE G PMB5332
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City | ATLANTA
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State | GA
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Zip | 30328-3152
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Country | US
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Telephone | 404-913-9709
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Fax |
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Provider Business Mailing Address
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Address Line | 6595 ROSWELL ROAD STE G PMB5332
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City | ATLANTA
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State | GA
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Zip | 30328-3152
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Country | US
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Telephone | 404-913-9709
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAINEA WILLIAMS
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Credential |
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Telephone | 404-913-9709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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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 | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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