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General NPI Number Information
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NPI Number | 1851009732
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Entity Type | Individual
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Provider Name | KAYLAH BIAS
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 3615 HUTCHINSON RD STE 102
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City | CUMMING
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State | GA
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Zip | 30040-0500
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Country | US
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Telephone | 888-850-4891
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 SPRINGWOOD CONNECTOR UNIT 458
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-5324
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Country | US
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Telephone | 678-327-6200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APC008761
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License Number State | GA
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