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General NPI Number Information
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NPI Number | 1417726258
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Entity Type | Individual
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Provider Name | STEPHANIE SIRY FITZPATRICK LPC
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Gender | Female
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Dates
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Enumeration Date | 12/21/2023
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 1 OAK PLZ STE 208
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City | ASHEVILLE
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State | NC
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Zip | 28801-3000
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Country | US
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Telephone | 828-575-9760
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Fax |
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Provider Business Mailing Address
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Address Line | 405 WOODLEIGH RD APT 202
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City | ARDEN
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State | NC
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Zip | 28704-1475
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Country | US
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Telephone | 803-522-5732
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9282
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License Number State | SC
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