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General NPI Number Information
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NPI Number | 1346290517
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Entity Type | Organization
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Legal Business Name | BENFIELD & PODGER ASSOCS., LTD
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 3314 16TH AVE SE STE. 206
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City | CONOVER
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State | NC
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Zip | 28613-9694
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Country | US
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Telephone | 704-325-3181
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Fax | 704-325-3182
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | CONOVER
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State | NC
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Zip | 28613-0278
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Country | US
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Telephone | 704-325-3181
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Fax | 704-325-3182
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | CRYSTAL PODGER
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Credential | MA, LPC, CBIS-CI
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Telephone | 704-325-3181
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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 | 2892
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License Number State | NC
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