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General NPI Number Information
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NPI Number | 1053653329
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Entity Type | Organization
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Legal Business Name | R & R COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 445 WESTERN BLVD SUITE Q
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6845
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Country | US
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Telephone | 336-409-1551
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Fax |
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Provider Business Mailing Address
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Address Line | 700 WHITE OAK XING
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City | SWANSBORO
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State | NC
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Zip | 28584-8481
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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/MEMBER
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Name | DR. KIMBERLY MANDEL
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Credential |
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Telephone | 336-409-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3705
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License Number State | NC
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