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General NPI Number Information
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NPI Number | 1003912262
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Entity Type | Individual
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Provider Name | MS. HOLLY EVE YATES
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 7633 MINE VALLEY RD
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City | RALEIGH
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State | NC
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Zip | 27615-6017
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Country | US
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Telephone | 919-931-3270
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Fax | 919-781-8660
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Provider Business Mailing Address
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Address Line | 4008 BARRETT DR 106
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City | RALEIGH
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State | NC
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Zip | 27609-6621
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Country | US
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Telephone | 919-931-3270
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Fax | 919-781-2660
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4745
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License Number State | NC
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