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General NPI Number Information
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NPI Number | 1558734434
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALTH AND COMMUNITY SERVICES INC
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 5460 LEMOYNE DR SW
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City | ATLANTA
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State | GA
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Zip | 30331-9206
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Country | US
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Telephone | 404-349-0058
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Fax | 866-323-6778
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Provider Business Mailing Address
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Address Line | 5460 LEMOYNE DR SW
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City | ATLANTA
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State | GA
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Zip | 30331-9206
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Country | US
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Telephone | 404-349-0058
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Fax | 866-323-6778
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ANNIE HOLLINGSWORTH
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Credential | HOLISTIC SPECIALIST
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Telephone | 404-349-0058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | GA
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