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General NPI Number Information
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NPI Number | 1851776181
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Entity Type | Organization
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Legal Business Name | THOMAS & SON FAMILY & CHILD RESOURCE CENTER, INC
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 113 MCLAUGHLIN STREET, NW
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City | PELHAM
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State | GA
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Zip | 31779
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Country | US
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Telephone | 229-294-4869
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Fax | 229-294-7023
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Provider Business Mailing Address
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Address Line | PO BOX 131
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City | PELHAM
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State | GA
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Zip | 31779-0131
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Country | US
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Telephone | 229-294-4869
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Fax | 229-294-7023
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | NATHANIEL THOMAS
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Credential |
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Telephone | 229-294-4869
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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 |
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