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General NPI Number Information
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NPI Number | 1811257546
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Entity Type | Organization
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Legal Business Name | SUCCESSFUL DREAMS BELIEFS & ACHIEVEMENTS, INC
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 155 WESTRIDGE PKWY STE 209
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City | MCDONOUGH
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State | GA
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Zip | 30253-3051
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Country | US
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Telephone | 678-814-4443
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Fax |
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Provider Business Mailing Address
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Address Line | 155 WESTRIDGE PKWY STE 209
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City | MCDONOUGH
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State | GA
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Zip | 30253-3051
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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 | CHEIF EXECUTIVE OFFICER/DIRECTOR
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Name | MS. SHAWONNICA S. HIGHTOWER
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Credential |
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Telephone | 678-814-4443
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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 | GA
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | GA
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