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General NPI Number Information
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NPI Number | 1356209399
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Entity Type | Individual
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Provider Name | JAMBAH ANGELA WARNER
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 11300 LAWYERS RD STE J
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City | MINT HILL
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State | NC
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Zip | 28227-9334
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Country | US
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Telephone | 877-572-9793
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 WILLIAMS RD
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City | MATTHEWS
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State | NC
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Zip | 28105-2007
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Country | US
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Telephone | 980-248-9520
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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 | P023283
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License Number State | NC
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