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General NPI Number Information
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NPI Number | 1063173797
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Entity Type | Individual
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Provider Name | CARLA KITCHING LCSWA
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Gender | Female
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 526 N ELAM AVE STE 103
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City | GREENSBORO
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State | NC
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Zip | 27403-1132
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Country | US
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Telephone | 336-285-7079
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Fax |
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Provider Business Mailing Address
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Address Line | 229 TURNER DR
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City | REIDSVILLE
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State | NC
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Zip | 27320-5736
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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 |
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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 | P014668
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C015769
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License Number State | NC
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