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General NPI Number Information
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NPI Number | 1366915563
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Entity Type | Organization
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Legal Business Name | SAGE-HEART COUNSELING, PLLC
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 3124 BRECHIN RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4904
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Country | US
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Telephone | 910-491-4277
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53073
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-3073
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Country | US
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Telephone | 910-491-4277
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | DORIS CURRY
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Credential | LCSW
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Telephone | 910-491-4277
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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 |
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License Number State |
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