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General NPI Number Information
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NPI Number | 1083859540
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Entity Type | Organization
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Legal Business Name | CENTER FOR PSYCHOLOGY & EDUCATION
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 100 EUROPA DR STE 330
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City | CHAPEL HILL
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State | NC
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Zip | 27517-2357
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Country | US
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Telephone | 919-928-0144
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Fax | 911-928-0145
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Provider Business Mailing Address
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Address Line | 100 EUROPA DR STE 330
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City | CHAPEL HILL
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State | NC
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Zip | 27517-2357
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Country | US
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Telephone | 919-928-0144
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Fax | 911-928-0145
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARIE DEAN
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Credential |
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Telephone | 919-928-0144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 3039
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 2058
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License Number State | NC
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