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General NPI Number Information
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NPI Number | 1013758697
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Entity Type | Individual
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Provider Name | ANNA TAMBURELLO LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 11940 CAROLINA PLACE PKWY STE 200
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City | PINEVILLE
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State | NC
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Zip | 28134-7471
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Country | US
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Telephone | 704-154-1908
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Fax |
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Provider Business Mailing Address
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Address Line | 2422 KENSINGTON STATION PKWY
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City | CHARLOTTE
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State | NC
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Zip | 28210-4855
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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 |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A20096
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License Number State | NC
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