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General NPI Number Information
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NPI Number | 1659986404
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Entity Type | Organization
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Legal Business Name | CENTER FOR EMPOWERING RESOURCES
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 1250 SCENIC HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-6359
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Country | US
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Telephone | 770-322-4216
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 SCENIC HWY
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-6359
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Country | US
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Telephone | 770-322-4216
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL SOCIAL WORKER
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Name | DR. VANESSA ROBINSON-DOOLEY
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Credential | LCSW
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Telephone | 404-993-1770
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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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