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General NPI Number Information
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NPI Number | 1063419158
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Entity Type | Individual
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Provider Name | T DIANNE MACPHERSON LCSW, LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 3150 S HIGHWAY 14
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City | GREENVILLE
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State | SC
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Zip | 29615-5904
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Country | US
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Telephone | 864-662-9666
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Fax | 828-687-6882
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | REIDVILLE
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State | SC
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Zip | 29375-0084
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Country | US
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Telephone | 828-585-5021
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Fax | 828-687-6882
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAS 3328
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS-23423
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C008226
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10339
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License Number State | SC
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