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General NPI Number Information
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NPI Number | 1841706066
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTH ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 12/26/2017
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Provider Practice Location Address
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Address Line | 2465 MAIN ST STE 111
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City | EAST POINT
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State | GA
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Zip | 30344-2673
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Country | US
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Telephone | 404-907-0760
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Fax |
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Provider Business Mailing Address
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Address Line | 4575 WEBB BRIDGE RD # 4911
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City | ALPHARETTA
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State | GA
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Zip | 30005-4256
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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, CEO
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Name | JAI DAMES
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Credential | LMFT
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Telephone | 404-907-0760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001578
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License Number State | GA
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