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General NPI Number Information
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NPI Number | 1083175533
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Entity Type | Individual
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Provider Name | DENISE MUNKOMBWE MAKALA MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1777 NORTHEAST EXPY NE ZALIK BEHAVIORAL AND MENTAL HEALTH CENTER
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City | BROOKHAVEN
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State | GA
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Zip | 30329-2480
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Country | US
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Telephone | 404-785-7878
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Fax | 704-381-6841
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Provider Business Mailing Address
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Address Line | 566 OAK BROOK DR
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City | MARTINEZ
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State | GA
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Zip | 30907-4100
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Country | US
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Telephone | 706-504-1884
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 250694
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 93096
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License Number State | GA
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