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General NPI Number Information
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NPI Number | 1720748429
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Entity Type | Organization
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Legal Business Name | UNITED METHODIST CHILDREN'S HOME OF THE NORTH GEORGIA CONFERENCE, INC.
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 1967 LAKESIDE PKWY STE 400
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City | TUCKER
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State | GA
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Zip | 30084-5867
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Country | US
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Telephone | 404-327-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 1967 LAKESIDE PKWY STE 400
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City | TUCKER
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State | GA
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Zip | 30084-5867
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Country | US
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Telephone | 404-327-5820
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PERFORMANCE & QUALITY
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Name | MARY EILEEN MEYER
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Credential |
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Telephone | 404-327-5820
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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 |
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License Number State |
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