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General NPI Number Information
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NPI Number | 1750708020
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Entity Type | Organization
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Legal Business Name | E & A CARES, LLC
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 513 ACADEMY AVENUE
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-304-5060
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Fax | 478-272-3631
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Provider Business Mailing Address
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Address Line | 513 ACADEMY AVENUE
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-304-5060
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Fax | 478-272-3631
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. ELIZABETH EYVONNE POOLER
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Credential | PHD
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Telephone | 478-304-5060
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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 | 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 | 1400005905
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License Number State | GA
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