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General NPI Number Information
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NPI Number | 1114541646
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Entity Type | Organization
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Legal Business Name | BAGBY VOCATIONAL CONSULTING
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 1323 QUEENS RD UNIT 418
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City | CHARLOTTE
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State | NC
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Zip | 28207-2168
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Country | US
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Telephone | 704-759-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 QUEENS RD UNIT 418
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City | CHARLOTTE
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State | NC
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Zip | 28207-2168
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Country | US
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Telephone | 704-759-0460
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SABRENA BAGBY
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Credential |
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Telephone | 704-759-0460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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