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General NPI Number Information
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NPI Number | 1174863047
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Entity Type | Organization
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Legal Business Name | NAK UNION, INC
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Dates
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Enumeration Date | 02/28/2013
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 5530 OLD NATIONAL HWY BLDG C, STE B
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City | COLLEGE PARK
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State | GA
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Zip | 30349
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Country | US
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Telephone | 678-466-6511
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Fax | 678-466-6468
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Provider Business Mailing Address
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Address Line | PO BOX 1458
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City | FAIRBURN
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State | GA
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Zip | 30213-8007
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Country | US
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Telephone | 678-650-5274
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NAK SYLLA KAKE
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Credential |
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Telephone | 678-466-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1777-R
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | IN PROGRESS
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License Number State | GA
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Taxonomy #4
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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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