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General NPI Number Information
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NPI Number | 1245046531
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Entity Type | Individual
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Provider Name | LYNDSEY HARRIS LCMHC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 108 N FAYETTEVILLE ST UNIT I
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City | LIBERTY
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State | NC
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Zip | 27298-3203
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Country | US
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Telephone | 919-200-2655
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 162
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City | WHITSETT
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State | NC
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Zip | 27377-0162
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 17950
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License Number State | NC
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