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General NPI Number Information
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NPI Number | 1689003352
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Entity Type | Organization
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Legal Business Name | THE HOPE CENTER OF GEORGIA, LLC
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 1720 PEACHTREE ST NW SUITE 433
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City | ATLANTA
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State | GA
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Zip | 30309-2449
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Country | US
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Telephone | 678-516-5279
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 720072
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City | ATLANTA
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State | GA
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Zip | 30358-2072
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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 | OWNER
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Name | DR. HOPE ASHBY
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Credential | PHD
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Telephone | 678-516-5297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW004016
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License Number State | GA
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