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General NPI Number Information
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NPI Number | 1336019603
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Entity Type | Individual
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Provider Name | ALLEGRA ALI-MARTINEZ LMFTA
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 331 ASHLAND DR
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City | GOLDSTON
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State | NC
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Zip | 27252-9651
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Country | US
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Telephone | 984-977-8113
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 WHITMAN DR
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City | CREEDMOOR
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State | NC
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Zip | 27522-7253
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Country | US
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Telephone | 574-780-2987
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20850A
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License Number State | NC
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