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General NPI Number Information
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NPI Number | 1245524164
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Entity Type | Organization
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Legal Business Name | INNER COMPASS THERAPY, INCORPORATED
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 5850 FARINGDON PL
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City | RALEIGH
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State | NC
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Zip | 27609-3930
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Country | US
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Telephone | 919-633-7230
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Fax | 919-556-3449
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Provider Business Mailing Address
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Address Line | 406 MAGNOLIA VIEW LN
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City | ROLESVILLE
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State | NC
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Zip | 27571-9324
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Country | US
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Telephone | 919-633-7230
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Fax | 919-556-3449
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | REBECCA FARLOWE BARKER
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Credential | LCSW, MSW
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Telephone | 919-633-7230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | C005618
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C005618
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License Number State | NC
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