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General NPI Number Information
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NPI Number | 1750773230
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Entity Type | Organization
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Legal Business Name | WATKINS EMPOWERMENT AND CONSULTING
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 2788 BAYARD ST
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City | EAST POINT
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State | GA
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Zip | 30344-3441
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Country | US
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Telephone | 678-632-1022
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Fax |
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Provider Business Mailing Address
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Address Line | 541 10TH ST NW #338
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City | ATLANTA
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State | GA
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Zip | 30318-5713
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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/CEO
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Name | RODERICK WATKINS
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Credential |
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Telephone | 678-632-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC004358
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License Number State | GA
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