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General NPI Number Information
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NPI Number | 1750583670
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Entity Type | Organization
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Legal Business Name | MORNINGSTAR CHILDREN AND FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 3596 DARIEN HWY SUITES 4 & 5
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City | BRUNSWICK
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State | GA
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Zip | 31525-3034
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Country | US
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Telephone | 912-267-3701
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Fax | 912-267-0235
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Provider Business Mailing Address
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Address Line | P.O. BOX 370
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City | BRUNSWICK
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State | GA
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Zip | 31521
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Country | US
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Telephone | 912-267-7583
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Fax | 912-267-9568
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | WELLS KILGORE
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Credential |
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Telephone | 912-267-3700
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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 | CCI0000011057
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License Number State | GA
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Taxonomy #2
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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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Legacy Identifiers
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Identifier #1
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Identifier Code | 860119541A
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Identifier Type | MEDICAID
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Identifier State | GA
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 860119541A
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Identifier Type | MEDICAID
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Identifier State | GA
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Identifier Issuer |
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