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General NPI Number Information
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NPI Number | 1346187804
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Entity Type | Individual
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Provider Name | SHAKARA T HUTCHINSON BS, MSW, LCSWA, LCAS
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 1904 BALDREE RD S
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City | WILSON
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State | NC
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Zip | 27893-9509
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Country | US
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Telephone | 252-296-8661
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Fax |
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Provider Business Mailing Address
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Address Line | 145 STONE RIDGE DR
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City | SMITHFIELD
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State | NC
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Zip | 27577-7277
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Country | US
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Telephone | 252-296-8661
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P023590
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License Number State | NC
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