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General NPI Number Information
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NPI Number | 1154378313
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Entity Type | Individual
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Provider Name | ELEANOR PAIGE TEMPLE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 511 SAINT ANDREW ST
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City | TARBORO
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State | NC
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Zip | 27886-4434
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Country | US
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Telephone | 252-823-6187
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Fax | 252-824-1580
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Provider Business Mailing Address
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Address Line | PO BOX 613
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City | TARBORO
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State | NC
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Zip | 27886-0613
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Country | US
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Telephone | 252-823-6187
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Fax | 252-641-0715
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2884
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License Number State | NC
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