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General NPI Number Information
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NPI Number | 1285850305
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Entity Type | Individual
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Provider Name | WILLIAM FRANKLIN AUTRY LCAS
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1804 MLK JR. PARKWAY SUITE 210
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City | DURHAM
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State | NC
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Zip | 27707-3584
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Country | US
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Telephone | 919-489-2254
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Fax | 919-403-1551
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Provider Business Mailing Address
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Address Line | 5842 SANDSTONE DR
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City | DURHAM
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State | NC
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Zip | 27713-1926
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Country | US
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Telephone | 919-544-9595
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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 | 315
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License Number State | NC
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