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General NPI Number Information
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NPI Number | 1295038891
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Entity Type | Organization
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Legal Business Name | KANT CONSULTING, LLC
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 1340 FERNWOOD CIR NE
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City | ATLANTA
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State | GA
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Zip | 30319-3408
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Country | US
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Telephone | 404-240-0243
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 FERNWOOD CIR NE
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City | ATLANTA
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State | GA
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Zip | 30319-3408
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Country | US
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Telephone | 404-240-0243
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. CAROLE A KANT
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Credential | PH.D.
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Telephone | 404-240-0243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0001948
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License Number State | GA
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