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General NPI Number Information
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NPI Number | 1982587341
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Entity Type | Individual
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Provider Name | KAHMIIL KOHRIE MIDDLETON LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 26861 COUNTY ROAD 26
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City | ELKHART
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State | IN
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Zip | 46517-9811
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Country | US
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Telephone | 574-891-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 CHERRY LAUREL LN
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City | ALBANY
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State | GA
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Zip | 31705-4508
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Country | US
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Telephone | 574-383-8983
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 99131736A
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License Number State | IN
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