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General NPI Number Information
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NPI Number | 1245799162
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Entity Type | Organization
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Legal Business Name | BOOKMAN SOLUTIONS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 2330 SCENIC HWY S STE 114
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City | SNELLVILLE
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State | GA
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Zip | 30078-3115
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Country | US
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Telephone | 678-517-2778
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 SCENIC HWY S STE 114
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City | SNELLVILLE
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State | GA
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Zip | 30078-3115
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Country | US
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Telephone | 678-517-2778
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DAYAN C BOOKMAN
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Credential | LCSW
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Telephone | 678-517-2778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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