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General NPI Number Information
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NPI Number | 1386412625
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Entity Type | Individual
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Provider Name | HYUN AH CHA LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/15/2023
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 1830 WATER PL SE # 215
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City | ATLANTA
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State | GA
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Zip | 30339-7407
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Country | US
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Telephone | 407-697-0944
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 BROOKE FOREST CT
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City | ALPHARETTA
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State | GA
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Zip | 30022-3418
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Country | US
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Telephone | 407-697-0944
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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 | MSW011232
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License Number State | GA
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