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NPI Code Detail

MEDICARE: ELIZABETH F PASCHAL LPCA, LCAS, RN

MEDICARE:   ELIZABETH F PASCHAL  LPCA, LCAS, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse75422NC
2101YP2500XProfessional CounselorA9166NC
3101YA0400XAddiction (Substance Use Disorder) Counselor2085NC

General Provider Information

NPI Number : 1174838866
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH F PASCHAL LPCA, LCAS, RN
Provider Business Mailing Address
First Line : 2031 MARTIN LUTHER KING JR DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-3342
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2031 MARTIN LUTHER KING JR DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-3342
Country : US
Telephone Number : 336-271-5888
Fax Number : 336-271-5882
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2010
Last Update Date : 11/30/2012

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