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General NPI Number Information
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NPI Number | 1245573930
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Entity Type | Individual
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Provider Name | PATRICIA LITTWIN LPC, PSYD, CST
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 110 CHARLESTON DR UNIT 109-108
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City | MOORESVILLE
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State | NC
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Zip | 28117-7700
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Country | US
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Telephone | 980-444-0806
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Fax |
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Provider Business Mailing Address
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Address Line | 108 AMELIA LN
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City | MOORESVILLE
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State | NC
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Zip | 28117-9457
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Country | US
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Telephone | 980-475-0560
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9293
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License Number State | NC
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