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General NPI Number Information
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NPI Number | 1861007403
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Entity Type | Organization
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Legal Business Name | CARING CLINIC LLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 114 WRIGHTS DR
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061
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Country | US
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Telephone | 478-456-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 114 WRIGHTS DR
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061
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Country | US
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Telephone | 478-452-0005
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC-MENTAL HEALTH NP
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Name | DR. JULIE SANDERS
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Credential | NURSE PRACTITIONER
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Telephone | 478-456-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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