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General NPI Number Information
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NPI Number | 1104982883
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Entity Type | Individual
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Provider Name | TABATHA RAE BRAFFORD LPC
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Gender | Female
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 91 TIMBERLANE RD
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City | WAYNESVILLE
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State | NC
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Zip | 28786-7927
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Country | US
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Telephone | 828-452-1395
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Fax | 828-452-1396
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | MURPHY
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State | NC
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Zip | 28906-0444
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Country | US
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Telephone | 828-837-0071
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Fax | 828-837-5309
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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 | 4109
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License Number State | NC
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