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General NPI Number Information
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NPI Number | 1255480281
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Entity Type | Individual
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Provider Name | JOSEPH MICHAEL MCCLUNG LPC
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 5501 EXECUTIVE CENTER DR SUITE 220
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City | CHARLOTTE
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State | NC
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Zip | 28212-8866
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Country | US
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Telephone | 704-493-1003
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Fax | 866-219-1960
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Provider Business Mailing Address
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Address Line | 8403 EARLHAM CT
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City | CHARLOTTE
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State | NC
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Zip | 28277-1836
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Country | US
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Telephone | 704-493-1003
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Fax | 704-537-2493
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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 | 5212
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5212
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License Number State | NC
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