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General NPI Number Information
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NPI Number | 1871047647
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Entity Type | Organization
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Legal Business Name | ADVANCED CREATIVE SOLUTIONS
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 517 BENJAMIN WAY STE 400
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City | DALTON
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State | GA
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Zip | 30721-4659
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Country | US
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Telephone | 706-237-8303
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Fax | 888-563-0473
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Provider Business Mailing Address
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Address Line | 517 BENJAMIN WAY STE 400
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City | DALTON
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State | GA
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Zip | 30721-4659
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Country | US
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Telephone | 706-237-8303
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Fax | 888-563-0473
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Authorized Official
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Title or Position | OWNER/CEO
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Name | CHRISTY WARE
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Credential | LCSW
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Telephone | 706-307-0043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | =========
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License Number State | GA
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