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General NPI Number Information
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NPI Number | 1225103237
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Entity Type | Organization
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Legal Business Name | THE CAROLINA PSYCHOLOGICAL GROUP, P.A.
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 702 JOHNS HOPKINS DRIVE
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City | GREENVILLE
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State | NC
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Zip | 27834-7220
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Country | US
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Telephone | 252-757-0123
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Fax | 252-757-3461
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Provider Business Mailing Address
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Address Line | 702 JOHNS HOPKINS DRIVE
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City | GREENVILLE
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State | NC
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Zip | 27834-7220
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Country | US
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Telephone | 252-757-0123
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Fax | 252-757-3461
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HAROLD J. MAY
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Credential | PH.D
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Telephone | 252-757-0123
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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 | MHL074-31
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License Number State | NC
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