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General NPI Number Information
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NPI Number | 1346089091
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Entity Type | Organization
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Legal Business Name | TELOS THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 4840 ROSWELL RD STE D300
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City | SANDY SPRINGS
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State | GA
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Zip | 30342-2635
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Country | US
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Telephone | 404-882-9187
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Fax | 770-995-1959
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Provider Business Mailing Address
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Address Line | 4840 ROSWELL RD STE D300
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City | SANDY SPRINGS
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State | GA
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Zip | 30342-2635
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Country | US
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Telephone | 404-882-9187
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Fax | 770-995-1959
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Authorized Official
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Title or Position | OWNER
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Name | KAREN AKE
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Credential | LCSW
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Telephone | 404-882-9187
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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 |
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License Number State |
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