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General NPI Number Information
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NPI Number | 1184211021
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Entity Type | Individual
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Provider Name | RAUL ZAMORA-DUPREY MSW, LCSW
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Gender |
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Dates
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Enumeration Date | 12/27/2020
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 925 N 4TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-3450
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Country | US
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Telephone | 910-343-0270
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Fax |
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Provider Business Mailing Address
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Address Line | 341 S. COLLEGE RD., STE. 11 PMB 2027
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City | WILMINGTON
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State | NC
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Zip | 28403
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Country | US
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Telephone | 336-840-8981
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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 | C016501
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License Number State | NC
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