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General NPI Number Information
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NPI Number | 1124351903
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Entity Type | Individual
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Provider Name | MICHAEL BRIGGS SEARLES LPC
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Gender | Male
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 200 N POPLAR ST
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City | ABERDEEN
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State | NC
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Zip | 28315-2812
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Country | US
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Telephone | 910-639-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N POPLAR ST
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City | ABERDEEN
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State | NC
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Zip | 28315-2812
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Country | US
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Telephone | 910-639-2288
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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 | 7449
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License Number State | NC
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