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General NPI Number Information
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NPI Number | 1811876980
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Entity Type | Organization
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Legal Business Name | KALEAB MINDCARE,LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 1455 LINCOLN PKWY E STE 300
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City | ATLANTA
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State | GA
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Zip | 30346-2209
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Country | US
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Telephone | 678-666-4717
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Fax |
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Provider Business Mailing Address
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Address Line | 24 JEKYLL DR
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City | MARIETTA
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State | GA
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Zip | 30066-8607
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Country | US
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Telephone | 404-797-3581
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KALEAB MILLION BEKELE
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Credential |
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Telephone | 404-797-3581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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