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General NPI Number Information
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NPI Number | 1053260299
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Entity Type | Organization
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Legal Business Name | AUTHENTISPHERE THERAPY, PLLC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 7404 CHAPEL HILL RD STE A
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City | RALEIGH
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State | NC
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Zip | 27607-5043
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Country | US
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Telephone | 984-664-3203
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 TRYON VILLAGE DRIVE SUITE 303 #1046
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City | CARY
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State | NC
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Zip | 27518
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIGITTE ZYLAROCH
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Credential | LCSW
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Telephone | 984-664-3203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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