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General NPI Number Information
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NPI Number | 1104405224
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Entity Type | Individual
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Provider Name | ALYSIA WILLIAMS MCGLONE
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Gender | Female
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2224 LACY ST
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City | BURLINGTON
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State | NC
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Zip | 27215-5341
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Country | US
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Telephone | 336-494-5743
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Fax |
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Provider Business Mailing Address
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Address Line | 628 HERTFORD LN
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City | GRAHAM
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State | NC
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Zip | 27253-4444
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Country | US
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Telephone | 828-612-3372
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A15930
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License Number State | NC
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