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General NPI Number Information
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NPI Number | 1326525775
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Entity Type | Organization
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Legal Business Name | K &R COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 07/27/2018
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Provider Practice Location Address
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Address Line | 1302 BELLEVUE AVE
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City | DUBLIN
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State | GA
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Zip | 31021-4152
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Country | US
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Telephone | 478-290-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 BELLEVUE AVE
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City | DUBLIN
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State | GA
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Zip | 31021-4152
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | TARMARA HOLDER
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Credential |
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Telephone | 478-279-6617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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