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General NPI Number Information
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NPI Number | 1881119154
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Entity Type | Organization
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Legal Business Name | TURNING POINT REVISION, LLC
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3079 CAMPBELLTON RD SW
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City | ATLANTA
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State | GA
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Zip | 30311-5400
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Country | US
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Telephone | 470-355-3218
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Fax | 470-225-6549
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Provider Business Mailing Address
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Address Line | 3079 CAMPBELLTON RD SW
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City | ATLANTA
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State | GA
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Zip | 30311-5400
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Country | US
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Telephone | 470-355-3218
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Fax | 470-225-6549
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Authorized Official
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Title or Position | OWNER
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Name | CHYETTA THOMAS
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Credential |
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Telephone | 470-355-3218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | GA
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