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General NPI Number Information
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NPI Number | 1275294555
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Entity Type | Individual
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Provider Name | TIARRA MARQUISE OQUENDO-WAY LCSWA
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 6419 BANNINGTON RD STE B
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City | CHARLOTTE
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State | NC
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Zip | 28226-1341
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Country | US
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Telephone | 704-533-5810
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Fax | 980-598-8019
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Provider Business Mailing Address
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Address Line | PO BOX 620701
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City | CHARLOTTE
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State | NC
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Zip | 28262-0111
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Country | US
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Telephone | 704-533-5810
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Fax | 980-598-8019
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P016440
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License Number State | NC
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