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General NPI Number Information
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NPI Number | 1003202441
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Entity Type | Organization
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Legal Business Name | NC THERAPY AND COUNSELING SERVICES PA
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 916 ARSENAL AVE STE B
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5328
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Country | US
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Telephone | 910-263-5475
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Fax |
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Provider Business Mailing Address
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Address Line | 916 ARSENAL AVE STE B
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5328
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Country | US
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Telephone | 910-263-5475
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNA CAROLINE COLE
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Credential | MA
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Telephone | 910-263-5475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 7840
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License Number State | NC
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