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General NPI Number Information
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NPI Number | 1902934318
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Entity Type | Organization
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Legal Business Name | GEORGIA COMMUNITY SUPPORT & SOLUTIONS, INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 1945 CLIFF VALLEY WAY SUITE 220
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City | ATLANTA
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State | GA
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Zip | 30329-2436
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Country | US
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Telephone | 404-634-4222
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Fax | 404-634-1324
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Provider Business Mailing Address
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Address Line | 1945 CLIFF VALLEY WAY SUITE 220
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City | ATLANTA
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State | GA
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Zip | 30329-2436
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Country | US
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Telephone | 404-634-4222
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Fax | 404-634-1324
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Authorized Official
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Title or Position | CEO
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Name | MR. WHITNEY FUCHS
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Credential |
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Telephone | 404-634-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 044R0077
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License Number State | GA
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