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General NPI Number Information
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NPI Number | 1235935461
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY LITTLE LMFTA
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Gender | Male
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 3315 SPRINGBANK LANE SUITE 300 AND 304
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City | CHARLOTTE
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State | NC
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Zip | 28226
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Country | US
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Telephone | 704-503-8196
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Fax | 980-498-6700
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Provider Business Mailing Address
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Address Line | 16051 DOOLIN CT APT 308
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City | CHARLOTTE
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State | NC
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Zip | 28273-0179
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Country | US
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Telephone | 980-298-7698
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 10007A
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License Number State | NC
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