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General NPI Number Information
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NPI Number | 1538971825
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Entity Type | Individual
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Provider Name | DHARA COHLY COMANS P-LPC
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2629 COURTHOUSE CIR STE A
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City | FLOWOOD
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State | MS
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Zip | 39232-9521
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Country | US
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Telephone | 601-420-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 404 EASTPOINTE CV
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City | MADISON
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State | MS
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Zip | 39110-7845
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Country | US
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Telephone | 601-941-8900
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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 | P-1291
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License Number State | MS
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