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General NPI Number Information
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NPI Number | 1053303982
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Entity Type | Individual
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Provider Name | MARGARET LECKIE BRICE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 1133 MILITARY CUTOFF RD STE 106
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City | WILMINGTON
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State | NC
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Zip | 28405-3684
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Country | US
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Telephone | 910-791-5575
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Fax | 910-791-5576
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Provider Business Mailing Address
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Address Line | 1133 MILITARY CUTOFF RD STE 210
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City | WILMINGTON
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State | NC
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Zip | 28405-4400
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Country | US
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Telephone | 910-791-5575
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Fax | 910-791-5576
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C004477
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License Number State | NC
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