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General NPI Number Information
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NPI Number | 1346543956
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Entity Type | Individual
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Provider Name | TOECIA LAND
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Gender | Female
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 1900 RANDOLPH RD STE 800
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City | CHARLOTTE
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State | NC
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Zip | 28207-1110
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Country | US
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Telephone | 704-384-1246
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Fax | 704-384-6072
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone |
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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 | P009488
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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