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General NPI Number Information
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NPI Number | 1932473113
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Entity Type | Individual
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Provider Name | MAKOTO IKEGAMI DSW, MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 1901 ROSEWOOD RD
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City | DECATUR
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State | GA
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Zip | 30032-7017
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Country | US
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Telephone | 470-763-5282
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 ROSEWOOD RD
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City | DECATUR
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State | GA
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Zip | 30032-7017
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Country | US
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Telephone | 470-763-5282
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW017519
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW14355
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW006447
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License Number State | GA
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