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General NPI Number Information
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NPI Number | 1013711522
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Entity Type | Organization
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Legal Business Name | MODERN SOCIAL SOLUTIONS PLLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3511 SHANNON RD FL 3
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City | DURHAM
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State | NC
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Zip | 27707-6330
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Country | US
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Telephone | 336-223-2906
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Fax |
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Provider Business Mailing Address
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Address Line | 208 BUCKHILL VILLAGE DR APT 103
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City | BURLINGTON
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State | NC
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Zip | 27215-8264
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | WHITNEY MCDONALD
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Credential | LCSWA
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Telephone | 336-504-0202
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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 |
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License Number State |
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