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General NPI Number Information
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NPI Number | 1588735252
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Entity Type | Organization
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Legal Business Name | PINELAND AREA COMMUNITY SERVICES BOARD
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 11 N COLLEGE ST
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City | STATESBORO
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State | GA
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Zip | 30458-5306
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Country | US
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Telephone | 912-764-9868
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Fax | 912-764-5066
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Provider Business Mailing Address
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Address Line | PO BOX 745
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City | STATESBORO
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State | GA
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Zip | 30459-0745
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Country | US
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Telephone | 912-764-6906
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Fax | 912-764-6466
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Authorized Official
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Title or Position | INTERIM CEO
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Name | DR. CYNTHIA CONE-DEKLE
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Credential | PH.D.
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Telephone | 912-764-6906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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