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General NPI Number Information
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NPI Number | 1396532594
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Entity Type | Individual
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Provider Name | CHRISTY MICHELLE CONAWAY LCASA, MQP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 123 W 4TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-5530
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Country | US
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Telephone | 910-887-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 5510 SHADY LAWN DR
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City | HOPE MILLS
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State | NC
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Zip | 28348-5712
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Country | US
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Telephone | 910-496-5242
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 30768
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License Number State | NC
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