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General NPI Number Information
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NPI Number | 1962556332
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Entity Type | Organization
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Legal Business Name | JEWISH FAMILY & CAREER SERVICES
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 4549 CHAMBLEE DUNWOODY RD
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City | ATLANTA
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State | GA
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Zip | 30338-6210
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Country | US
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Telephone | 770-677-9345
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Fax | 770-677-9412
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Provider Business Mailing Address
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Address Line | 4549 CHAMBLEE DUNWOODY RD
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City | ATLANTA
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State | GA
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Zip | 30338-6210
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Country | US
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Telephone | 770-677-9345
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Fax | 770-677-9412
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Authorized Official
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Title or Position | DIRECTOR DISABILITIES DIVISION
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Name | LISA MORGAN
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Credential |
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Telephone | 770-677-9344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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