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General NPI Number Information
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NPI Number | 1316465206
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Entity Type | Individual
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Provider Name | JEFFERY KING NEER LCSWA, LCASA
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Gender | Male
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 3010 FALSTAFF RD. C/O UNC ACTT
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City | RALEIGH
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State | NC
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Zip | 27610
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Country | US
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Telephone | 919-445-0290
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Fax | 919-445-0407
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Provider Business Mailing Address
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Address Line | 355 JAMESTOWN RD
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City | PITTSBORO
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State | NC
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Zip | 27312-6753
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Country | US
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Telephone | 919-619-6309
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Fax | 919-445-0407
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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 | PO11185
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License Number State | NC
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