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General NPI Number Information
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NPI Number | 1073468286
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Entity Type | Organization
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Legal Business Name | KNU SCOPE
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 4043 BIG VALLEY TRL # A
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-5711
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Country | US
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Telephone | 770-899-2849
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Fax |
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Provider Business Mailing Address
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Address Line | 4043 BIG VALLEY TRL # A
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-5711
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Country | US
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Telephone | 770-899-2849
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KENYON T. LINDSEY
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Credential | LPC
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Telephone | 770-899-2849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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