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General NPI Number Information
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NPI Number | 1043036205
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Entity Type | Organization
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Legal Business Name | REAL ME THERAPY, INC.
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 12450 CLEVELAND RD STE 204
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City | GARNER
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State | NC
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Zip | 27529-8355
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Country | US
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Telephone | 919-610-9229
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Fax | 919-981-9055
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Provider Business Mailing Address
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Address Line | 2117 WATER FRONT DR
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City | WILLOW SPRING
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State | NC
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Zip | 27592-7485
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Country | US
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Telephone | 919-604-9325
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Fax | 919-981-9055
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELYN BEECH
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Credential | LMFT
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Telephone | 919-604-9325
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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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