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General NPI Number Information
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NPI Number | 1013465590
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Entity Type | Individual
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Provider Name | SARA REYNOLDS KIRK LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 1512 E FRANKLIN ST SUITE 100
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City | CHAPEL HILL
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State | NC
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Zip | 27514-2816
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Country | US
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Telephone | 984-974-6669
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MANNING DRIVE UNC HOSPITALS BEACON PROGRAM
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City | CHAPEL HILL
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State | NC
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Zip | 27514
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Country | US
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Telephone | 984-974-0470
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Fax | 984-974-0875
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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 | C010106
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License Number State | NC
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