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General NPI Number Information
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NPI Number | 1770722563
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Entity Type | Organization
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Legal Business Name | GLOBAL CARE CENTERS, INC
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 136 HIGHWAY 138 SW
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City | RIVERDALE
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State | GA
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Zip | 30274-4008
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Country | US
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Telephone | 770-865-9116
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Fax |
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Provider Business Mailing Address
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Address Line | 851 FAYE DR NW
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City | KENNESAW
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State | GA
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Zip | 30144-2113
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Country | US
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Telephone | 770-865-9116
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | DR. TITI AJOKE IPADEOLA
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Credential | PH.D, LPC
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Telephone | 770-865-9116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | LPC 004963
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | LPC 004963
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC 004963
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License Number State | GA
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