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General NPI Number Information
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NPI Number | 1255629754
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Entity Type | Individual
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Provider Name | CALVIN J. MANNING LPC
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Gender | Male
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 405 NC HIGHWAY 65
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City | WENTWORTH
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State | NC
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Zip | 24375-0355
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Country | US
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Telephone | 336-342-8412
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Fax | 336-432-8330
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Provider Business Mailing Address
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Address Line | 284 EXECUTIVE PARK DR
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City | CONCORD
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State | NC
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Zip | 28025-1831
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Country | US
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Telephone | 704-939-1100
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Fax | 704-939-1173
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2037
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A9591
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9591
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License Number State | NC
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