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General NPI Number Information
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NPI Number | 1922205236
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Entity Type | Organization
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Legal Business Name | CAREPARTNERS OF GEORGIA
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 432 N ROUNTREE ST
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City | METTER
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State | GA
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Zip | 30439-3615
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Country | US
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Telephone | 478-237-2484
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Fax |
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Provider Business Mailing Address
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Address Line | 109 ROBERTS STREET
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City | SWAINSBORO
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State | GA
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Zip | 30401-3114
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Country | US
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Telephone | 478-237-2484
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID W CROOKE
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Credential | LPC
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Telephone | 478-237-2484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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