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General NPI Number Information
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NPI Number | 1649067760
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Entity Type | Organization
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Legal Business Name | HOLY GROUND MINISTRIES
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 21829 GA HIGHWAY 144
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City | RICHMOND HILL
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State | GA
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Zip | 31324-5845
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Country | US
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Telephone | 912-441-9983
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Fax |
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Provider Business Mailing Address
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Address Line | 21829 GA HIGHWAY 144
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City | RICHMOND HILL
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State | GA
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Zip | 31324-5845
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Country | US
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Telephone | 912-441-9983
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOSENA GRANT
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Credential | PHD
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Telephone | 912-441-9983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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