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General NPI Number Information
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NPI Number | 1629764485
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Entity Type | Organization
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Legal Business Name | YENDOR WITTE BELLE AND ASSOCIATES
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 260 PEACHTREE ST NW # 2103
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City | ATLANTA
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State | GA
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Zip | 30303-1202
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Country | US
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Telephone | 404-903-2712
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Fax |
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Provider Business Mailing Address
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Address Line | 3344 FLAT STONE CT
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City | CONYERS
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State | GA
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Zip | 30094-8301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RODNEY ALDRIDGE
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Credential |
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Telephone | 404-903-2712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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