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General NPI Number Information
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NPI Number | 1386460467
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Entity Type | Organization
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Legal Business Name | SARA PARISI
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Dates
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Enumeration Date | 11/23/2024
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Last Update Date | 11/23/2024
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Provider Practice Location Address
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Address Line | 5135 MORGANTON RD STE 103
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1525
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Country | US
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Telephone | 910-221-7272
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Fax | 910-221-7210
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Provider Business Mailing Address
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Address Line | 223 WOODSIDE AVE
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4835
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Country | US
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Telephone | 910-221-7272
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Fax | 910-221-7210
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Authorized Official
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Title or Position | OWNER
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Name | MS. SARA E PARISI
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Credential | M.A.ED., LCMHC, LCAS
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Telephone | 910-221-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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