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General NPI Number Information
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NPI Number | 1265634414
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Entity Type | Individual
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Provider Name | NANCY E. LARRICK MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 101 S. ELM ST. SUITE 325 COUNSELING CENTER OF GREENSBORO
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City | GREENSBORO
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State | NC
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Zip | 27401
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Country | US
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Telephone | 336-274-2100
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Fax | 336-274-6366
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Provider Business Mailing Address
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Address Line | 704 GUILFORD RD.
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City | JAMESTOWN
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State | NC
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Zip | 27282-9764
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Country | US
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Telephone | 336-454-2255
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4350
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License Number State | NC
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