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General NPI Number Information
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NPI Number | 1154160901
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Entity Type | Individual
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Provider Name | LASHAUNDA ANTOINETTE GILBERT LCSW-A
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Gender | Female
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 2433 SAINT ANDREW ST
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City | TARBORO
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State | NC
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Zip | 27886-9213
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Country | US
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Telephone | 252-641-9990
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Fax | 252-641-9997
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Provider Business Mailing Address
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Address Line | 3733 ASHCROFT DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-9586
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Country | US
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Telephone | 914-882-2470
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P020261
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License Number State | NC
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