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General NPI Number Information
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NPI Number | 1568395978
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Entity Type | Organization
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Legal Business Name | MIDDLE FLINT BEHAVIORAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 940 GA HIGHWAY 96 STE C
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City | WARNER ROBINS
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State | GA
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Zip | 31088-2585
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Country | US
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Telephone | 478-988-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 9052 JIM PURCELL DR
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City | COVINGTON
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State | GA
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Zip | 30014-2203
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Country | US
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Telephone | 478-396-5442
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | ALICIA BAILEY
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Credential | RN
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Telephone | 478-396-5442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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