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General NPI Number Information
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NPI Number | 1992258354
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Entity Type | Organization
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Legal Business Name | TURBER ENTERPRISES, INC.
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 06/20/2017
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Provider Practice Location Address
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Address Line | 4103 ROCKS LN
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City | LOGANVILLE
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State | GA
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Zip | 30052-6683
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Country | US
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Telephone | 770-891-2678
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Fax | 770-466-5955
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Provider Business Mailing Address
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Address Line | 4103 ROCKS LN
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City | LOGANVILLE
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State | GA
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Zip | 30052-6683
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Country | US
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Telephone | 770-891-2678
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Fax | 770-466-5955
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Authorized Official
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Title or Position | CFO
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Name | MRS. JANICE BAKER TURBER
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Credential | LPC
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Telephone | 770-891-2678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC001394
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | LPC001394
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License Number State | GA
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