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General NPI Number Information
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NPI Number | 1407808835
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Entity Type | Individual
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Provider Name | ISABELLE B RAGSDALE PH. D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 156 US HIGHWAY 70 W
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City | HAVELOCK
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State | NC
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Zip | 28532-9506
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Country | US
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Telephone | 252-447-8907
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Fax | 252-444-0923
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Provider Business Mailing Address
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Address Line | PO BOX 477
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City | HAVELOCK
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State | NC
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Zip | 28532-0477
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Country | US
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Telephone | 252-447-8907
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Fax | 252-444-0923
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2020
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License Number State | NC
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