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General NPI Number Information
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NPI Number | 1831994318
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Entity Type | Organization
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Legal Business Name | BLOUNT BEGINNINGS INC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 632 5TH ST
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City | AUGUSTA
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State | GA
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Zip | 30901-2411
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Country | US
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Telephone | 762-246-9917
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Fax |
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Provider Business Mailing Address
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Address Line | 1765 BROAD ST STE 10
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City | AUGUSTA
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State | GA
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Zip | 30904-3915
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Country | US
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Telephone | 762-246-9917
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PRESIDENT
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Name | MR. DEVARION BLOUNT
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Credential |
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Telephone | 706-445-0414
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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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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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