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General NPI Number Information
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NPI Number | 1285306381
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Entity Type | Individual
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Provider Name | DEVON E WEATHERS
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Gender | Female
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 621A S LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-5807
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Country | US
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Telephone | 72-370-4692
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Fax |
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Provider Business Mailing Address
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Address Line | 2224 HOLLY LN
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City | SHELBY
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State | NC
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Zip | 28150-9779
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Country | US
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Telephone | 704-476-5219
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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 | A20172
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License Number State | NC
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