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General NPI Number Information
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NPI Number | 1861001752
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Entity Type | Organization
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Legal Business Name | THE BID PROJECT ENTERPRISE INC.
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 5987 PATTILLO LN
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City | LITHONIA
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State | GA
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Zip | 30058-6295
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Country | US
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Telephone | 404-702-7853
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Fax |
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Provider Business Mailing Address
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Address Line | 5987 PATTILLO LN
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City | LITHONIA
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State | GA
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Zip | 30058-6295
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Country | US
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Telephone | 404-702-7853
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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 | CALVIN COOKS
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Credential |
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Telephone | 404-702-7853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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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 | 225CX0006X
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Taxonomy Name | Orientation and Mobility Training Rehabilitation Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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