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General NPI Number Information
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NPI Number | 1043563992
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Entity Type | Individual
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Provider Name | PATRICK WARD NARCISSE MSW, ACSW, MFPT
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Gender | Male
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 11822 SILVERCREST DR
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City | CHARLOTTE
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State | NC
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Zip | 28215-9903
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Country | US
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Telephone | 704-421-3425
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Fax | 704-573-4314
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Provider Business Mailing Address
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Address Line | 11822 SILVERCREST DR
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City | CHARLOTTE
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State | NC
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Zip | 28215-9903
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Country | US
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Telephone | 704-421-3425
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Fax | 704-573-4314
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | PN717232MF
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License Number State | NC
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