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General NPI Number Information
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NPI Number | 1356109326
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Entity Type | Individual
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Provider Name | KAI-MCKENZIE HARRIS LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1093 CLEVELAND AVE
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City | ATLANTA
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State | GA
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Zip | 30344-6740
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Country | US
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Telephone | 404-768-2218
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 HAYNES PARK PL
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City | LITHONIA
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State | GA
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Zip | 30038-3571
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Country | US
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Telephone | 786-397-5970
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW010955
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW009855
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License Number State | GA
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