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General NPI Number Information
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NPI Number | 1730426594
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Entity Type | Organization
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Legal Business Name | KARYN L KOCHAN, MS, LPC, INC.
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Dates
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Enumeration Date | 01/12/2013
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Last Update Date | 01/12/2013
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Provider Practice Location Address
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Address Line | 3330 CUMBERLAND BLVD SE SUITE 500
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City | ATLANTA
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State | GA
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Zip | 30339-5995
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Country | US
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Telephone | 404-791-8023
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Fax | 770-941-2369
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Provider Business Mailing Address
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Address Line | 800 KENDALL KNOLL WAY 1ST FLOOR
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City | MABLETON
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State | GA
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Zip | 30126-5963
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Country | US
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Telephone | 404-791-8023
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Fax | 770-941-2369
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Authorized Official
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Title or Position | OFFICE ANGER
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Name | MR. EDWARD V. KOCHAN
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Credential |
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Telephone | 404-791-8023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC003766
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License Number State | GA
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