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General NPI Number Information
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NPI Number | 1275698268
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Entity Type | Individual
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Provider Name | KAYE HAMES COKER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 1244 CLAIRMONT RD SUITE 106
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City | DECATUR
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State | GA
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Zip | 30030-1259
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Country | US
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Telephone | 770-366-5946
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Fax |
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Provider Business Mailing Address
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Address Line | 702 GRAYMONT DR
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City | GRAYSON
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State | GA
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Zip | 30017-1651
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Country | US
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Telephone | 770-338-7463
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Fax | 770-972-2849
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW001571
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License Number State | GA
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