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General NPI Number Information
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NPI Number | 1962706408
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Entity Type | Organization
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Legal Business Name | PURPOSE PROJECT, LLC
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Dates
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Enumeration Date | 12/26/2010
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 677 ANTONE ST NW
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City | ATLANTA
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State | GA
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Zip | 30318-7601
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Country | US
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Telephone | 404-695-5724
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 831498
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-0025
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Country | US
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Telephone | 404-287-8556
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | JENNIFER SHEPHARD LESTER
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Credential | LPC, MA
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Telephone | 404-287-8556
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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 | LPC005094
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License Number State | GA
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