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General NPI Number Information
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NPI Number | 1609799972
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Entity Type | Organization
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Legal Business Name | SOMALI CHILDREN HEALTH CARE
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 2330 SCENIC HWY S
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City | SNELLVILLE
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State | GA
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Zip | 30078-3115
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Country | US
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Telephone | 404-822-5414
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Fax | 166-940-4067
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Provider Business Mailing Address
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Address Line | 2330 SCENIC HWY S
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City | SNELLVILLE
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State | GA
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Zip | 30078-3115
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Country | US
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Telephone | 404-822-5414
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Fax | 166-940-4067
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Authorized Official
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Title or Position | CEO
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Name | MS. LAILA ISMAIL
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Credential |
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Telephone | 404-822-5414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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