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General NPI Number Information
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NPI Number | 1285104174
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Entity Type | Organization
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Legal Business Name | INNATE WELLBEING, PLLC
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 53 1/2 HILLSBORO ST.
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City | PITTSBORO
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State | NC
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Zip | 27312-2731
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Country | US
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Telephone | 919-923-7414
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Fax | 888-868-4875
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Provider Business Mailing Address
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Address Line | PO BOX 161
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City | PITTSBORO
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State | NC
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Zip | 27312-0161
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | SHAY ALDERMAN
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Credential | LPC
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Telephone | 919-923-7414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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