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General NPI Number Information
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NPI Number | 1265733521
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Entity Type | Individual
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Provider Name | CHRISTINA V. CLARK LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 24 ARLINGTON ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-2006
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Country | US
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Telephone | 828-681-2837
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Fax | 828-681-2837
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Provider Business Mailing Address
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Address Line | PO BOX 2003
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City | SKYLAND
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State | NC
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Zip | 28776-2003
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Country | US
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Telephone | 828-681-2837
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Fax | 828-681-2837
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 7926
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License Number State | NC
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