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General NPI Number Information
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NPI Number | 1588943070
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Entity Type | Organization
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Legal Business Name | GKM HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 760 OLD ROSWELL RD STE 211
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City | ROSWELL
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State | GA
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Zip | 30076-8686
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Country | US
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Telephone | 404-856-0505
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Fax | 404-602-0081
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Provider Business Mailing Address
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Address Line | 760 OLD ROSWELL RD STE 211
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City | ROSWELL
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State | GA
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Zip | 30076-8686
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Country | US
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Telephone | 404-856-0505
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Fax | 404-602-0081
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Authorized Official
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Title or Position | CLINICAL OPERATIONS MANAGER
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Name | DR. KYM LEONARD
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Credential | FNP-BC
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Telephone | 404-856-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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