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General NPI Number Information
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NPI Number | 1386889020
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Entity Type | Individual
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Provider Name | TRACEY WEST GILBERT NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 110 N MAIN ST
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City | CHINA GROVE
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State | NC
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Zip | 28023-2528
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Country | US
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Telephone | 704-750-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 815 N MAIN ST
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City | SALISBURY
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State | NC
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Zip | 28144-3607
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Country | US
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Telephone | 704-433-6711
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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 | 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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