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General NPI Number Information
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NPI Number | 1174324727
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Entity Type | Individual
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Provider Name | ELIZABETH HELEN BRUBAKER
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 548 SMITH LEVEL RD
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City | CARRBORO
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State | NC
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Zip | 27510-2555
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Country | US
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Telephone | 919-357-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 VILLAGE CROSSING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27517-7571
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Country | US
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Telephone | 912-580-9225
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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