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General NPI Number Information
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NPI Number | 1831836980
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Entity Type | Organization
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Legal Business Name | HIGHER DESIRES, INC
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 4236 LEHIGH BLVD
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City | DECATUR
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State | GA
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Zip | 30034-6055
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Country | US
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Telephone | 678-386-7183
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Fax |
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Provider Business Mailing Address
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Address Line | 4236 LEHIGH BLVD
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City | DECATUR
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State | GA
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Zip | 30034-6055
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Country | US
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Telephone | 678-386-7183
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MONICA WOOD
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Credential |
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Telephone | 678-386-7183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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