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General NPI Number Information
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NPI Number | 1336332428
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Entity Type | Organization
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Legal Business Name | KV CONSULTANTS & ASSOCIATES
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 108 HAY ST STE 3
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5683
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Country | US
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Telephone | 910-223-7114
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Fax | 910-223-0098
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Provider Business Mailing Address
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Address Line | PO BOX 943
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City | FAYETTEVILLE
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State | NC
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Zip | 28302-0943
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Country | US
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Telephone | 910-223-7114
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Fax | 910-223-0098
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Authorized Official
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Title or Position | CEO
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Name | MR. RICHARD VARELA
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Credential | LPC
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Telephone | 910-223-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 131
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License Number State | NC
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