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General NPI Number Information
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NPI Number | 1174552442
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Entity Type | Individual
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Provider Name | WILLIAM DAVID HOLDEN L.P.C., L.C.A.S.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 204 JEFFERSON STREET, SUITE 106
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-3586
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Country | US
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Telephone | 336-838-1644
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Fax | 336-667-7720
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Provider Business Mailing Address
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Address Line | P.O. BOX 1656
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-1656
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Country | US
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Telephone | 336-838-1644
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Fax | 336-667-7720
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC #2749
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCAS # 147
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License Number State | NC
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