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General NPI Number Information
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NPI Number | 1265249601
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Entity Type | Individual
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Provider Name | ELICIA CARTER
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Gender | Female
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 957 S BIRDNECK RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-4801
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Country | US
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Telephone | 757-648-2120
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 WARREN PL APT 101
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5679
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Country | US
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Telephone | 216-903-1226
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State | VA
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