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General NPI Number Information
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NPI Number | 1770920514
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Entity Type | Organization
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Legal Business Name | ESSENCE OF CARE INC
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 5405 MEMORIAL DR SUITE G&H
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083
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Country | US
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Telephone | 404-975-4680
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Fax | 404-592-6438
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Provider Business Mailing Address
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Address Line | 5405 MEMORIAL DR G & H
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-3234
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Country | US
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Telephone | 404-975-4680
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Fax |
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Authorized Official
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Title or Position | CEO/EXECUTIVE DIRECTOR
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Name | SHARON COSBY
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Credential |
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Telephone | 404-975-4680
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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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