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General NPI Number Information
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NPI Number | 1306710728
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Entity Type | Individual
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Provider Name | PATIENCE HAVEN GRAGG LCSWA
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Gender | Female
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 144 TREMONT PARK DR SE
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City | LENOIR
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State | NC
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Zip | 28645-4642
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Country | US
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Telephone | 828-544-8321
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Fax | 828-572-2523
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Provider Business Mailing Address
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Address Line | PO BOX 3624
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City | MORGANTON
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State | NC
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Zip | 28680-3624
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Country | US
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Telephone | 828-544-8321
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Fax | 828-572-2523
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021285
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License Number State | NC
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