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General NPI Number Information
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NPI Number | 1023663028
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Entity Type | Organization
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Legal Business Name | 4 LOVE COUNSELING & CONSULTING, PLLC
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 2106 HOPE MILLS RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4226
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Country | US
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Telephone | 910-356-9213
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Fax |
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Provider Business Mailing Address
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Address Line | 3946 TASHA DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-2095
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Country | US
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Telephone | 910-674-2456
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. MONIQUE RENDLES
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Credential | MA, LMFT
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Telephone | 910-356-9213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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