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General NPI Number Information
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NPI Number | 1205415932
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Entity Type | Organization
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Legal Business Name | K CARE COUNSELING LIMITED
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 2406 N ROBERTS AVE STE 103
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City | LUMBERTON
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State | NC
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Zip | 28358-2845
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Country | US
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Telephone | 910-241-9108
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Fax | 910-474-0313
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Provider Business Mailing Address
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Address Line | 2406 N ROBERTS AVE STE 103
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City | LUMBERTON
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State | NC
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Zip | 28358-2845
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Country | US
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Telephone | 910-241-9108
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Fax | 910-474-0313
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN GRAHAM
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Credential | LCAS
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Telephone | 910-241-9108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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