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General NPI Number Information
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NPI Number | 1083283154
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Entity Type | Individual
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Provider Name | NA-TWAN CORTRICE ALLEN MA, LCMHCA, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 715 FIELD ST
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City | THOMASVILLE
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State | NC
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Zip | 27360-5701
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Country | US
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Telephone | 336-283-6115
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Fax |
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Provider Business Mailing Address
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Address Line | 265 EASTCHESTER DRIVE SUITE 133, #152
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City | HIGH POINT
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State | NC
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Zip | 27262-8572
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Country | US
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Telephone | 336-283-6115
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A16622
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License Number State | NC
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