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General NPI Number Information
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NPI Number | 1598250342
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Entity Type | Organization
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Legal Business Name | AVANT BEHAVIORAL CONSULTANTS INC
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 1810 MULKEY RD STE 202
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City | AUSTELL
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State | GA
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Zip | 30106-1150
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Country | US
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Telephone | 770-694-6349
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Fax |
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Provider Business Mailing Address
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Address Line | 880 MARIETTA HWY STE 630366
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City | ROSWELL
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State | GA
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Zip | 30075-6755
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OKAH ANYOKWU
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Credential | MD
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Telephone | 573-999-0193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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