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General NPI Number Information
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NPI Number | 1669336244
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Entity Type | Organization
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Legal Business Name | SUGGA'S INDUSTRIES INTERNATIONAL, INC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 501 PULLIAM ST SW STE 350
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City | ATLANTA
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State | GA
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Zip | 30312-2750
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Country | US
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Telephone | 404-963-1059
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 PEACHTREE RD NE # D120
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City | ATLANTA
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State | GA
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Zip | 30309-1148
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Country | US
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Telephone | 404-963-1059
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. TIPHANIE WATSON JOHNSON
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Credential |
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Telephone | 470-654-0366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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