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General NPI Number Information
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NPI Number | 1285952481
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Entity Type | Individual
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Provider Name | VANESSA MOCK KENT M.A.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 1215 JONES FRANKLIN RD SUITE 201
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City | RALEIGH
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State | NC
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Zip | 27606-3351
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Country | US
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Telephone | 919-851-1527
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Fax | 919-851-3555
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Provider Business Mailing Address
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Address Line | 275 WATERVILLE ST
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City | RALEIGH
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State | NC
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Zip | 27603-1989
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Country | US
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Telephone | 919-772-8459
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Fax | 919-772-8459
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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 | LMHC#1872
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT#1129
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT#1795
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License Number State | FL
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