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General NPI Number Information
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NPI Number | 1326902834
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Entity Type | Individual
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Provider Name | MIRELLE CHATEIGNE
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 851 DURHAM RD STE B
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City | WAKE FOREST
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State | NC
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Zip | 27587-3301
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Country | US
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Telephone | 919-891-0521
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Fax |
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Provider Business Mailing Address
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Address Line | 205 IRONWOOD BLVD
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City | YOUNGSVILLE
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State | NC
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Zip | 27596-4506
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Country | US
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Telephone | 619-925-0782
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 10629A
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License Number State | NC
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