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General NPI Number Information
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NPI Number | 1275423436
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Entity Type | Individual
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Provider Name | MR. ROBERT BRICKEY
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Gender | Male
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1421 STATESVILLE AVE
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City | CHARLOTTE
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State | NC
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Zip | 28206-3008
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Country | US
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Telephone | 919-896-2389
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Fax |
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Provider Business Mailing Address
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Address Line | 5280 E. WT HARRIS BLVD STE 190 #1191
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City | CHARLOTTE
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State | NC
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Zip | 28215
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Country | US
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Telephone | 919-295-0646
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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