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General NPI Number Information
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NPI Number | 1346698594
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Entity Type | Individual
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Provider Name | JAI DAMES LMFT, LAPC
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Gender | Female
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Dates
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Enumeration Date | 05/27/2016
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 5575 NORTH POINT PKWY, SUITE 205
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City | ALPHARETTA
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State | GA
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Zip | 30022-3720
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Country | US
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Telephone | 404-596-5359
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Fax |
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Provider Business Mailing Address
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Address Line | 4575 WEBB BRIDGE RD #4911
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City | ALPHARETTA
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State | GA
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Zip | 30005-4256
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Country | US
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Telephone | 404-596-5359
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC005374
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC012573
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001578
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC012573
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License Number State | GA
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