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General NPI Number Information
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NPI Number | 1780352021
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Entity Type | Organization
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Legal Business Name | MAKE-IT-CLICK, INC.
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 5146 GLENDORA DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-5350
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Country | US
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Telephone | 678-464-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 5146 GLENDORA DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-5350
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Country | US
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Telephone | 678-464-9979
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. SARAH BINGHAM
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Credential | DSW
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Telephone | 470-579-5580
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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 |
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License Number State |
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