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General NPI Number Information
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NPI Number | 1023669991
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Entity Type | Individual
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Provider Name | ADITI PATEL LPCA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 4415 MONROE RD STE 100
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City | CHARLOTTE
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State | NC
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Zip | 28205-7743
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Country | US
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Telephone | 704-332-3634
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Fax |
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Provider Business Mailing Address
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Address Line | 300 WILLOWBROOK DR
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City | MORGANTON
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State | NC
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Zip | 28655-3629
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Country | US
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Telephone | 828-403-3666
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A15216
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License Number State | NC
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