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General NPI Number Information
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NPI Number | 1104316249
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Entity Type | Organization
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Legal Business Name | AOK (ART OF KNOWING) STUDIO LLC
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 180 MINE LAKE CT STE 200
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City | RALEIGH
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State | NC
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Zip | 27615-6417
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Country | US
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Telephone | 774-253-7938
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 FAIRSTED DR APT 702
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City | RALEIGH
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State | NC
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Zip | 27612-4591
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Country | US
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Telephone | 774-253-7938
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAVE SANDS
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Credential | LPC
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Telephone | 774-253-7938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12347
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License Number State | NC
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