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NPI 1427365121

NPI 1427365121 : CHRISTIE MANNING HERRING MSW, PLCSW : WILLIAMSTON, NC

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General NPI Number Information
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    NPI Number           |    1427365121
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTIE MANNING HERRING MSW, PLCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2010
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    Last Update Date     |    09/02/2010
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Provider Practice Location Address
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    Address Line         |    210 WEST LIBERTY STREET 
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    City                 |    WILLIAMSTON
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    State                |    NC
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    Zip                  |    27892-0000
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    Country              |    US
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    Telephone            |    252-792-5151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1139 WATERCRESS RD 
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    City                 |    WILLIAMSTON
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    State                |    NC
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    Zip                  |    27892-7781
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    Country              |    US
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    Telephone            |    252-792-5715
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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       |    P005822
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    License Number State |    NC
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