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General NPI Number Information
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NPI Number | 1396558490
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Entity Type | Individual
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Provider Name | MAIGAN DANISHKA MONSANTO CRUZ LCSWA
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 120 UNIONVILLE INDIAN TRAIL RD W # 100
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5665
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Country | US
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Telephone | 704-438-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 4685 HACKBERRY GROVE CIR APT 1836
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City | CHARLOTTE
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State | NC
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Zip | 28269-2434
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Country | US
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Telephone | 929-204-6983
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021611
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License Number State | NC
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