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General NPI Number Information
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NPI Number | 1598230427
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Entity Type | Organization
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Legal Business Name | BEE SOCIAL ADULT DAY PROGRAM
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 1915 ROCK CUT PL
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City | CONLEY
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State | GA
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Zip | 30288-2104
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Country | US
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Telephone | 404-806-7403
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 ROCK CUT PL
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City | CONLEY
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State | GA
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Zip | 30288-2104
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Country | US
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Telephone | 404-806-7403
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TONIE QUICK
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Credential |
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Telephone | 404-806-7403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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