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General NPI Number Information
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NPI Number | 1326642729
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Entity Type | Organization
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Legal Business Name | C. DOUGLAS COUNSELING AND COACHING
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 1200 MURCHISON RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4252
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Country | US
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Telephone | 919-504-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 3434 KILDAIRE FARM RD., STE 135 BOX 704
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City | CARY
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State | NC
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Zip | 27518
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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 | OWNER
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Name | CHRISTY DOUGLAS
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Credential |
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Telephone | 919-504-3004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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