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General NPI Number Information
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NPI Number | 1053476382
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Entity Type | Individual
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Provider Name | JACQUELINE HICKS NAJAFIAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 427 CATAWBA ST
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City | BELMONT
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State | NC
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Zip | 28012-3311
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Country | US
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Telephone | 704-576-4935
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Fax |
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Provider Business Mailing Address
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Address Line | 8621 HORNWOOD CT
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City | CHARLOTTE
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State | NC
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Zip | 28215-9313
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Country | US
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Telephone | 704-576-4935
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 847
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License Number State | NC
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