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General NPI Number Information
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NPI Number | 1295346989
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Entity Type | Organization
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Legal Business Name | NODE PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 9820 NORTHCROSS CENTER CT STE 73
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7357
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Country | US
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Telephone | 704-997-9566
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Fax |
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Provider Business Mailing Address
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Address Line | 11381 OLDE CEDAR CT
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City | DAVIDSON
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State | NC
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Zip | 28036-7731
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Country | US
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Telephone | 919-357-5454
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALLISON M. ROLLINSON
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Credential | M.ED., LPA, NCSP
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Telephone | 704-997-9566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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