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General NPI Number Information
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NPI Number | 1033723705
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Entity Type | Individual
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Provider Name | ANNA ELAINE MACHIN LCSWA
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Gender | Female
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 105 WIND CHIME CT
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City | RALEIGH
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State | NC
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Zip | 27615-6460
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Country | US
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Telephone | 919-916-5006
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Fax | 919-916-5313
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Provider Business Mailing Address
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Address Line | 212 GETTYSBURG DR
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City | CARY
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State | NC
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Zip | 27513-5162
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Country | US
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Telephone | 919-624-6590
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P014505
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P014505
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License Number State | NC
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