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General NPI Number Information
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NPI Number | 1104695717
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Entity Type | Individual
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Provider Name | NATHANIEL DAY
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Gender | Male
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 7406 CHAPEL HILL RD STE H
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City | RALEIGH
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State | NC
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Zip | 27607-5039
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Country | US
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Telephone | 919-230-1571
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Fax |
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Provider Business Mailing Address
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Address Line | 5425 NEUSE FOREST RD
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City | RALEIGH
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State | NC
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Zip | 27616-8023
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Country | US
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Telephone | 817-988-1860
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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 | 10147A
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License Number State | NC
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