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General NPI Number Information
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NPI Number | 1184178683
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Entity Type | Organization
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Legal Business Name | LIFE IN FOCUS LLC
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Dates
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Enumeration Date | 08/12/2016
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 12910 MOSBY LN
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City | CHARLOTTE
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State | NC
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Zip | 28273-4838
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Country | US
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Telephone | 704-705-6029
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Fax |
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Provider Business Mailing Address
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Address Line | 12910 MOSBY LN
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City | CHARLOTTE
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State | NC
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Zip | 28273-4838
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS MONICA L MCNEILL
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Credential | LPCA
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Telephone | 704-705-6029
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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 | A10867
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License Number State | NC
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