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NPI 1033054150

NPI 1033054150 : BCJ ASSOCIATES LLC : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1033054150
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    Entity Type          |    Organization 
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    Legal Business Name  |    BCJ ASSOCIATES LLC 
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Dates
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    Enumeration Date     |    04/23/2026
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    Last Update Date     |    04/23/2026
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Provider Practice Location Address
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    Address Line         |    114 DEEP GAP CT APT 3 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28217-2092
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    Country              |    US
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    Telephone            |    202-500-0007
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14316 REESE BLVD W STE B-627 
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    City                 |    HUNTERSVILLE
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    State                |    NC
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    Zip                  |    28078-7959
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    Country              |    US
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    Telephone            |    202-500-0007
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. CONNIE VICTORIA CLARK 
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    Credential           |    MSW
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    Telephone            |    202-500-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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