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General NPI Number Information
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NPI Number | 1295673788
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Entity Type | Organization
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Legal Business Name | IREDELL-STATESVILLE SCHOOLS
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 549 N RACE ST
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City | STATESVILLE
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State | NC
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Zip | 28677-3915
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Country | US
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Telephone | 704-873-9432
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Fax |
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Provider Business Mailing Address
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Address Line | 549 N RACE ST
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City | STATESVILLE
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State | NC
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Zip | 28677-3915
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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 | SCHOOL PSYCHOLOGIST
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Name | MS. CASEY GOUGH
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Credential | SSP, MA, NCSP
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Telephone | 980-306-4962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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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