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General NPI Number Information
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NPI Number | 1255101713
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Entity Type | Organization
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Legal Business Name | ANISSA R. FERRIS, PLLC
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 4801 SIX FORKS RD
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City | RALEIGH
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State | NC
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Zip | 27609-5205
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Country | US
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Telephone | 919-676-7800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 97473
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City | RALEIGH
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State | NC
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Zip | 27624-7473
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Country | US
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Telephone | 919-272-8214
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Fax |
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Authorized Official
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Title or Position | MEMBER/ORGANIZER
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Name | MS. ANISSA ROGERSON FERRIS
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Credential | LCSW
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Telephone | 919-272-8214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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