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General NPI Number Information
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NPI Number | 1356422901
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Entity Type | Individual
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Provider Name | STEPHANIE ROCHELLE SPELLER-HENDERSON MA,NCC,LPC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1247 TOM HUNTER RD
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City | CHARLOTTE
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State | NC
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Zip | 28213-7419
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Country | US
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Telephone | 704-566-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 7221 WALTERBORO RD
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City | CHARLOTTE
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State | NC
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Zip | 28227-1243
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Country | US
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Telephone | 704-566-7190
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5451
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License Number State | NC
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